Individual
DR. PAYMAN KHORRAMI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2080 CENTURY PARK EAST, SUITE 1804, LOS ANGELES, CA 90067-2021
(310) 553-5588
(310) 553-5590
Mailing address
2080 CENTURY PARK EAST, SUITE 1804, LOS ANGELES, CA 90067-2021
(310) 553-5588
(310) 553-5590
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
G73031
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G730310
—
CA
01
—
100009555
MEDICARE RAILROAD
CA
Enumeration date
07/04/2006
Last updated
09/20/2007
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