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Export Provider Record NPI 1417036369
Malek Iraj SheibaniM.D.
Active
NPI Number1417036369
NPI TypeNPI-1 Individual
SpecialtyFamily Medicine
Provider Details
NPI1417036369
NPI TypeNPI-1 Individual
StatusActive
Enumeration Date2006-11-03
Last Updated2007-07-08
Mailing Address1762 Westwood Blvd, Suite 300
Los Angeles, CA 90024-5632
United States
Phone: (310) 441-2000 | Fax: (310) 441-2020
📍 View Map
Primary Practice Address1762 Westwood Blvd, Suite 300
Los Angeles, CA 90024-5632
United States
Phone: (310) 441-2000 | Fax: (310) 441-2020
📍 View Map
Other Identifiers
IssuerStateNumberOther Issuer
MEDICAIDCAWA392287D-
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes207Q00000X – Family MedicineCAA392870
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About NPI 1417036369

Malek Iraj Sheibani M.D. is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1417036369. The primary specialty listed is Family Medicine. The provider is located in Los Angeles, CA. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-11-03. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1417036369?

NPI 1417036369 belongs to Malek Iraj Sheibani M.D., a Family Medicine in Los Angeles, CA. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.

Is NPI 1417036369 active?

The current status of NPI 1417036369 in the NPPES registry is Active. The record was last updated on 2007-07-08.

What specialty is NPI 1417036369?

NPI 1417036369 is classified under the taxonomy Family Medicine. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1417036369?

You can verify NPI 1417036369 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1417036369?

The primary practice address on file for NPI 1417036369 is 1762 Westwood Blvd, Los Angeles, CA 90024-5632. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1417036369 issued?

NPI 1417036369 was first issued (enumerated) on 2006-11-03. The NPPES record was last updated on 2007-07-08.

Practice Location Map

Malek Iraj Sheibani is located at 1762 Westwood Blvd, Los Angeles, CA. Use the map below to find directions or verify the practice location.

📍 1762 Westwood Blvd, Los Angeles, CA 90024-5632  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Malek Iraj Sheibani. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1417036369. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Family MedicineA392870CA
Data Verified from CMS NPPES Last synced: 2026-08-27 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162