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Individual

DR. PAYMAN VAHEDIFAR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
8635 W 3RD ST, STE# 865W, LOS ANGELES, CA 90048-6101
(310) 659-1654
Mailing address
8635 W 3RD ST, STE# 865W, LOS ANGELES, CA 90048-6101
(310) 659-1654

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
A62526
CA

Other

Enumeration date
10/14/2005
Last updated
07/08/2007
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