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Organization
DORNIKA MEDICAL, INC.
Active
Organization
DORNIKA MEDICAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BIJAN MOTAMEDI M.D. (PART OWNER)
(213) 747-0300
Entity
Organization
Contact information
Practice address
2121 S SAN PEDRO ST, UNIT E, LOS ANGELES, CA 90011-1160
(213) 747-0300
(213) 746-0044
Mailing address
125 OASIS, IRVINE, CA 92620-7315
(213) 747-0300
(213) 746-0044
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A76326
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A76326
PROVIDER LISCENSE
CA
Enumeration date
08/01/2014
Last updated
08/01/2014
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