Organization
PARVIZ AKHAVAN DO A MEDICAL CORP
Active
Parent organization
PARVIZ AKHAVAN DO A MEDICAL CORP
Other names
Neighborehood Medical Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
PARVIZ AKHAVAN DO A MEDICAL CORP
Authorized official
DR. PRVIZ AKHAVAN D.O. (OWNER)
(323) 750-2325
Entity
Organization
Contact information
Practice address
723 E MANCHESTER AVE, LOS ANGELES, CA 90001-3632
(323) 750-2325
Mailing address
723 E MANCHESTER AVE, LOS ANGELES, CA 90001-3632
(323) 750-2325
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
20A7522
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DO769A
PTAN(S)
CA
Enumeration date
06/16/2014
Last updated
06/16/2014
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