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Organization
POUYA BAHRAMI DO, INC
Active
Organization
POUYA BAHRAMI DO, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. POUYA BAHRAMI D.O. (PRESIDENT)
(213) 481-2200
Entity
Organization
Contact information
Practice address
1245 WILSHIRE BLVD, SUITE 611, LOS ANGELES, CA 90017-4810
(213) 481-2200
Mailing address
1414 S GRAND AVE, SUITE 100, LOS ANGELES, CA 90015-3067
(213) 481-2200
(213) 481-7023
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
09/10/2007
Last updated
08/05/2016
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