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Organization
DR JASON NIKZAD INC
Active
Organization
DR JASON NIKZAD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON NIKZAD DO (OWNER / PRESIDENT / DIRECTOR)
(310) 525-6064
Entity
Organization
Contact information
Practice address
8405 PERSHING DR STE 206, PLAYA DEL REY, CA 90293-7860
(310) 525-6064
Mailing address
8405 PERSHING DR STE 206, PLAYA DEL REY, CA 90293-7860
(310) 525-6064
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
09/08/2023
Last updated
09/08/2023
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