Organization
KIARASH PAYDAR, M.D. INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIARASH PAYDAR M.D. (PRESIDENT/OWNER)
(858) 495-0971
Entity
Organization
Contact information
Practice address
12660 RIVERSIDE DR, STE 300, STUDIO CITY, CA 91607-3429
(818) 623-5310
Mailing address
PO BOX 5486, ORANGE, CA 92863-5486
(818) 550-0900
(303) 953-8260
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A119688
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A119688
LICENSE
CA
Enumeration date
09/25/2015
Last updated
10/03/2016
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