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Organization

PAYMAN VAHEDIFAR, M.D.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PAYMAN VAHEDIFAR M.D., (PHYSICIAN)
(310) 659-1654
Entity
Organization

Contact information

Practice address
8635 W 3RD ST, STE# 865W, LOS ANGELES, CA 90048-6101
(310) 659-1654
Mailing address
8635 W 3RD ST, STE# 865W, LOS ANGELES, CA 90048-6101
(310) 659-1654

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
A62526
CA

Other

Enumeration date
10/25/2006
Last updated
06/20/2008
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