Individual
EIMAN FIROOZMAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9400 BRIGHTON WAY, SUITE 307, BEVERLY HILLS, CA 90210-4703
(310) 273-2310
(310) 273-0314
Mailing address
9400 BRIGHTON WAY, SUITE 307, BEVERLY HILLS, CA 90210-4703
(310) 273-2310
(310) 273-0314
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
A65759
CA
208C00000X
Colon & Rectal Surgery Physician
Primary
A65759
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05D1002337
CLIA NO
CA
01
—
352174655
FEDERAL TAX ID
CA
Enumeration date
08/10/2006
Last updated
12/24/2009
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