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Organization
PARVANEH RAFAELOFF, MD, INC.
Active
Organization
PARVANEH RAFAELOFF, MD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PARVANEH RAFAELOFF M.D. (MEDICAL DOCTOR)
(818) 265-1255
Entity
Organization
Contact information
Practice address
1030 S. GLENDALE AVE #308, GLENDALE, CA 91205-2866
(818) 265-1255
(818) 265-1283
Mailing address
1030 S. GLENDALE AVE #308, GLENDALE, CA 91205-2866
(818) 265-1255
(818) 265-1283
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A52350
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
A52350
—
CA
Enumeration date
01/07/2011
Last updated
01/07/2011
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