Individual
DR. PEYMAN BENHARASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10833 LECONTE AVE ROOM 62-215, LOS ANGELES, CA 90095-0001
(310) 206-6717
(310) 206-5901
Mailing address
5767 W CENTURY BLVD, SUITE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A85379
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A853790
—
CA
Enumeration date
08/27/2007
Last updated
11/18/2019
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