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Organization
LANKERSHIM MEDICAL CLINIC INC
Active
Organization
LANKERSHIM MEDICAL CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BEHROUZ BROOMAND M.D (PROPIETOR)
(818) 761-2300
Entity
Organization
Contact information
Practice address
6056 LANKERSHIM BLVD, NORTH HOLLYWOOD, CA 91606-4806
(818) 761-2300
(818) 761-5066
Mailing address
6056 LANKERSHIM BLVD, NORTH HOLLYWOOD, CA 91606-4806
(818) 761-2300
(818) 761-5066
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A043704
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A437040
—
CA
Enumeration date
05/30/2008
Last updated
05/30/2008
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