Individual
DR. PEZHMAN PAUL NAZEMI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
199 WEST HILLCREST DR, THOUSAND OAKS, CA 91360-4208
(805) 497-7976
(805) 497-7489
Mailing address
PO BOX 56269, SHERMAN OAKS, CA 91413-1269
(805) 497-7976
(805) 497-7489
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
A83439
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1467611558
MEDICARE NPI
CA
01
—
WA83439A
MEDICARE INDIVIDUAL PTAN
CA
Enumeration date
02/08/2008
Last updated
05/15/2020
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