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Individual

PAYMON RAHGOZAR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
415 ROLLING OAKS DR STE 220, THOUSAND OAKS, CA 91361-1046
(818) 900-4532
Mailing address
30700 RUSSELL RANCH RD STE 250, WESTLAKE VILLAGE, CA 91362-9507

Taxonomy

Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
A107647
CA
390200000X
Student in an Organized Health Care Education/Training Program
4301109368
MI

Other

Enumeration date
08/06/2008
Last updated
08/21/2024
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