Organization
PANTEHA PARTOVI PA-C CORP
Active
Organization
PANTEHA PARTOVI PA-C CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PANTEHA PARTOVI PA (CEO)
(310) 688-8800
Entity
Organization
Contact information
Practice address
11600 WILSHIRE BLVD STE 322, LOS ANGELES, CA 90025-1783
(310) 688-8800
Mailing address
11600 WILSHIRE BLVD STE 322, LOS ANGELES, CA 90025-1783
(310) 688-8800
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
—
—
2084N0400X
Neurology Physician
Primary
—
—
261Q00000X
Clinic/Center
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
05/23/2025
Last updated
05/23/2025
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