Organization
ERAJ BASSERI MD A PROFESSIONAL MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERAJ BASSERI M.D (OWNER)
(310) 858-1242
Entity
Organization
Contact information
Practice address
9033 WILSHIRE BLVD, # 200, BEVERLY HILLS, CA 90211-1837
(310) 858-1242
Mailing address
423 S CRESCENT DR, BEVERLY HILLS, CA 90212-4505
(310) 858-1242
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A91969
CA
Other
Enumeration date
03/11/2011
Last updated
04/29/2014
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