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Organization
ESSENTIAL MEDICAL CLINIC
Active
Organization
ESSENTIAL MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
POUYA BAHRAMI MD (OWNER / PRESIDENT)
(323) 757-1853
Entity
Organization
Contact information
Practice address
12610 S WESTERN AVE, LOS ANGELES, CA 90047-5252
(323) 757-1853
(323) 757-1281
Mailing address
12610 S WESTERN AVE, LOS ANGELES, CA 90047-5252
(323) 757-1853
(323) 757-1281
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
20A7262
CA
Other
Enumeration date
09/20/2017
Last updated
07/21/2022
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