Organization
EOCCMED.COM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BEHZAD EMAD (PRESIDENT)
(310) 721-6162
Entity
Organization
Contact information
Practice address
15332 ANTIOCH ST # 823, PACIFIC PALISADES, CA 90272-3628
(310) 804-2720
(310) 804-3956
Mailing address
15332 ANTIOCH ST # 823, PACIFIC PALISADES, CA 90272-3628
(310) 804-2720
(310) 804-3956
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
A055727
CA
Other
Enumeration date
12/19/2016
Last updated
12/28/2016
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