Organization
PAYMAN VAHEDIFAR A PROFESSIONAL MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAYMAN VAHEDIFAR M.D. (PRESIDENT)
(310) 288-0808
Entity
Organization
Contact information
Practice address
240 S LA CIENEGA BLVD, SUITE 102, BEVERLY HILLS, CA 90211-3324
(310) 288-0808
(310) 288-0080
Mailing address
PO BOX 17173, BEVERLY HILLS, CA 90209-3173
(310) 288-0808
(310) 288-0080
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Enumeration date
09/04/2010
Last updated
09/04/2010
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