Organization
ALIREZA PAKKAR MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALIREZA PAKKAR M.D. (PRESIDENT)
(310) 301-3037
Entity
Organization
Contact information
Practice address
10921 WILSHIRE BLVD, SUITE 412A, LOS ANGELES, CA 90024-3906
(310) 301-3037
Mailing address
10921 WILSHIRE BLVD, SUITE 412A, LOS ANGELES, CA 90024-3906
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A56491
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A564911
—
CA
Enumeration date
06/23/2008
Last updated
06/23/2008
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