Organization
FOREVER YOUNG, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AFSHIN DAVID RAHIMI M.D. (OWNER)
(323) 653-7700
Entity
Organization
Contact information
Practice address
6333 WILSHIRE BLVD, SUITE 409, LOS ANGELES, CA 90048-5702
(323) 653-7700
(323) 653-6409
Mailing address
6333 WILSHIRE BLVD, SUITE 409, LOS ANGELES, CA 90048-5702
(323) 653-7700
(323) 653-6409
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A63668
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ54892Y
BLUE SHIELD
CA
Enumeration date
07/19/2006
Last updated
02/26/2013
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