Provider Demographics
NPI:1043044241
Name:YOURS N OURS MEDICAL CLINIC PC
Entity type:Organization
Organization Name:YOURS N OURS MEDICAL CLINIC PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ASLAN
Authorized Official - Middle Name:
Authorized Official - Last Name:PIROUZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:858-357-3465
Mailing Address - Street 1:8733 BEVERLY BLVD STE 201
Mailing Address - Street 2:
Mailing Address - City:WEST HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90048-1844
Mailing Address - Country:US
Mailing Address - Phone:310-477-8400
Mailing Address - Fax:
Practice Address - Street 1:8733 BEVERLY BLVD STE 201
Practice Address - Street 2:
Practice Address - City:WEST HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:90048-1844
Practice Address - Country:US
Practice Address - Phone:310-477-8400
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-29
Last Update Date:2024-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
No302R00000XManaged Care OrganizationsHealth Maintenance Organization
No305R00000XManaged Care OrganizationsPreferred Provider Organization