Organization
MAHBOD PAYA, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAHBOD PAYA M.D. (PRESIDENT)
(818) 888-7090
Entity
Organization
Contact information
Practice address
7320 WOODLAKE AVE, STE 170, WEST HILLS, CA 91307-1468
(818) 888-7090
(818) 444-0448
Mailing address
7320 WOODLAKE AVE, STE 170, WEST HILLS, CA 91307-1468
(818) 888-7090
(818) 444-0448
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
A77354
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A77354
CALIFORNIA MEDICAL LICENSE
CA
Enumeration date
12/09/2008
Last updated
05/05/2010
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