# PAYMAN R EMMANUEL MD INC

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

## Provider details

- **NPI number:** 1437532553
- **Authorized official:** PAYMAN RICHARD EMMANUEL MD (DOCTOR)
- **Authorized official phone:** (310) 413-1006

## Contact information

- **Practice address:** 10750 WASHINGTON BLVD, CULVER CITY, CA 90232-3314
- **Practice address phone:** (310) 253-9999
- **Practice address fax:** (310) 253-9959
- **Mailing address:** 10750 WASHINGTON BLVD, CULVER CITY, CA 90232-3314
- **Mailing address phone:** (310) 253-9999
- **Mailing address fax:** (310) 253-9959

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332900000X | Non-Pharmacy Dispensing Site | G085245 | CA | Yes |

## Other

- **Enumeration date:** 07/07/2015
- **Last updated:** 07/07/2015