Individual
PAYAM EBIZADEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1233 S WESTGATE AVE APT 307, LOS ANGELES, CA 90025-6792
(267) 496-9056
Mailing address
1233 S WESTGATE AVE APT 307, LOS ANGELES, CA 90025-6792
(267) 496-9056
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
109881
CA
208D00000X
General Practice Physician
A109881
CA
Other
Enumeration date
12/06/2017
Last updated
09/12/2025
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