ANOUSHIRAVAN BOGHAIRI MD – NPI #1972704054
Internal Medicine

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Health Care Provider Taxonomy Code for Internal Medicine

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ANOUSHIRAVAN BOGHAIRI MD is a provider located in LA MESA, CA. NPPES has assigned the NPI number 1972704054 to ANOUSHIRAVAN BOGHAIRI MD on May 29, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207RC0000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Cardiovascular Disease

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ANOUSHIRAVAN BOGHAIRI MD below.

NPI Profile for
ANOUSHIRAVAN BOGHAIRI MD

NPI Number

1972704054

Enumeration Date

May 29, 2007
(more than 19 years ago)

Entity Type

Type-2 Organization

Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.

Legal Name

ANOUSHIRAVAN BOGHAIRI MD

Primary location

5565 GROSSMONT CENTER DRIVE
BLDG 1 STE 115
LA MESA, CA 91942

Phone: (619) 698-6667 Fax: (619) 698-6684

Mailing address

Same as primary location

Organization Subpart

Authorized Official

ANOUSHIRAVAN BOGHAIRI
PRESIDENT
Phone: (619) 698-6667

Updated

Aug 22, 2020

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization	State	License
207RC0000X - Internal Medicine / Cardiovascular Disease (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.