Individual
PAYMON BANAFSHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
6222 W MANCHESTER AVE, STE A, LOS ANGELES, CA 90045-3801
(310) 670-1840
(310) 670-4016
Mailing address
6222 W MANCHESTER AVE, STE A, LOS ANGELES, CA 90045-3801
(310) 670-1840
(310) 670-4016
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
20A8510
CA
Other
Enumeration date
09/26/2006
Last updated
05/16/2012
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