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Keivan Golchini

  • Male

Medical Specialty

Professional ID

  • NPI: 1528074812
  • PECOS ID: 9335034107
  • Enrollment ID: I20111013000480
  • Credential(MD, DO, DPM):
  • Medical School:
  • Medical School Graduation Year: 1982

Hospital Service

  • Hospital CCN1: 050763
  • Business Name (LBN)1: Silver Lake Medical Center
  • Hospital CCN2: 050104
  • Business Name (LBN)2: Saint Francis Medical Center

Location

  • Address1: 9100 Wilshire Blvd
  • Address2: Suite 245
  • City: Beverly Hills
  • State: California
  • Zip Code: 90212
  • Phone Number: (310)276-7649

Medical Practices

  • Organization Name: Shane Medical Office A Professional Corporation
  • Group Practice ID assigned by PECOS: 6709771579
  • Number of Group Practice member: 0

Location

  • Address1: 4316 Slauson Ave
  • Address2:
  • City: Maywood
  • State: California
  • Zip Code: 90270
  • Phone Number: (323)773-2020

Medicare

  • Medicare Assignment: Yes
  • Report Quality of Care to Physician Quality Reporting System (PQRS):
  • Used Electronic health record (EHR):