Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Caspian Medical Clinic, Corp

Organization General Practice Physician · NPI 1275765612

Caspian Medical Clinic, Corp provides General Practice Physician services in Van Nuys, California. Licensed in California. Registered with an NPI since 2009.

Licensed in
CA
In the registry since
2009
What do these letters mean?
Corp — Corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

14103 Victory Blvd Ste 7
Van Nuys, CA 91401-1998 Not confirmed with CMS for 16 years — call before visiting
Phone: (818) 994-0000
Fax: (818) 988-2949
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence A102618 (CA)

Record details

NPI number1275765612
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Max Ghannadi — Owner · (818) 994-0000
NPI enumeratedAugust 19, 2009
Last updated in NPPESSeptember 23, 2010
Mailing address14103 Victory Blvd, Suite 7, Van Nuys, CA 91401-1998

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