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Individual

DR. BANAFSHEH PEYVANDI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1200 N STATE ST, D&T TOWER, ROOM 3D321, LOS ANGELES, CA 90033-1029
(323) 409-7257
Mailing address
4842 GRAND AVE, LA CANADA, CA 91011-2323
(818) 809-6093

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A103624
CA

Other

Enumeration date
03/18/2014
Last updated
03/18/2014
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