Individual
PANTHEA PEDOEIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5353 BALBOA BLVD STE 104, ENCINO, CA 91316-2858
(818) 789-7181
Mailing address
5353 BALBOA BLVD STE 104, ENCINO, CA 91316-2858
(818) 789-7181
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
21298
CA
363LP0200X
Pediatric Nurse Practitioner
Primary
21298
CA
Other
Enumeration date
10/09/2012
Last updated
01/19/2024
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