Organization
PAYMAN R EMMANUEL MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAYMAN RICHARD EMMANUEL MD (DOCTOR)
(310) 413-1006
Entity
Organization
Contact information
Practice address
10750 WASHINGTON BLVD, CULVER CITY, CA 90232-3314
(310) 253-9999
(310) 253-9959
Mailing address
10750 WASHINGTON BLVD, CULVER CITY, CA 90232-3314
(310) 253-9999
(310) 253-9959
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
G085245
CA
Other
Enumeration date
07/07/2015
Last updated
07/07/2015
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