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Individual

PARVIZ TAHERPOUR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
124 N VIGNES ST, LOS ANGELES, CA 90012-4030
(213) 626-5679
(213) 680-0185
Mailing address
124 N VIGNES ST, LOS ANGELES, CA 90012-4030
(213) 626-5679
(213) 680-0185

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A28671
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1710616
CA
Enumeration date
06/24/2013
Last updated
06/24/2013
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