BAHMAN OMRANI DO INC NPI 1649582826

NPI Information

NPI: 1649582826
Provider Name: BAHMAN OMRANI DO INC

Doing Business As: SYLVAN MEDICAL CENTER

Classification: Clinic/Center - 261QP3300X
Entity Type: Organization

Specialization: Pain

CLIA Number: 05D2005807

Address:
4312 WOODMAN AVE STE 101
SHERMAN OAKS, CA
ZIP 91423
Phone: (818) 988-4088
Get Directions

BAHMAN OMRANI DO INC is a pain clinic center in Sherman Oaks, CA. BAHMAN OMRANI DO INC NPI is 1649582826. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Sylvan Medical Center.

The provider's business location address is:

4312 WOODMAN AVE STE 101
SHERMAN OAKS, CA
ZIP 91423-515
Phone: (818) 988-4088
Fax: (818) 988-4018

The provider's authorized official is Bahman Omrani .
The authorized official title is President and has the following contact phone number (818) 988-4088.

The CLIA number assigned to this NPI record is 05D2005807 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/5/2010 and was last updated on 2/20/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	174400000X	Specialist				No
2	207R00000X	Internal Medicine		20A9465	CALIFORNIA	No
3	207RA0401X	Internal Medicine	Addiction Medicine	20A9465	CALIFORNIA	No
4	261Q00000X	Clinic/Center				No
5	261QM1300X	Clinic/Center	Multi-Specialty			No
6	261QP3300X	Clinic/Center	Pain			Yes
7	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder			No
8	261QU0200X	Clinic/Center	Urgent Care			No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1700945417	OTHER	CALIFORNIA	INDIVIDUAL NPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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