# MAHBOD PAYA, M.D., INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396980082
- **Authorized official:** DR. MAHBOD PAYA M.D. (PRESIDENT)
- **Authorized official phone:** (818) 888-7090

## Contact information

- **Practice address:** 7320 WOODLAKE AVE, STE 170, WEST HILLS, CA 91307-1468
- **Practice address phone:** (818) 888-7090
- **Practice address fax:** (818) 444-0448
- **Mailing address:** 7320 WOODLAKE AVE, STE 170, WEST HILLS, CA 91307-1468
- **Mailing address phone:** (818) 888-7090
- **Mailing address fax:** (818) 444-0448

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | A77354 | CA | Yes |

## Other

- **Enumeration date:** 12/09/2008
- **Last updated:** 05/05/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | A77354 | CALIFORNIA MEDICAL LICENSE | CA |