Individual
DR. POUYAN FAMINI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
15503 VENTURA BLVD STE 170, ENCINO, CA 91436-3145
(818) 461-8148
(818) 461-8106
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
(310) 301-8707
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A114529
CA
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
A114529
CA
Other
Enumeration date
08/22/2009
Last updated
12/04/2024
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