Individual
POUYA BENYAMINI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5901 W OLYMPIC BLVD STE 504, LOS ANGELES, CA 90036-4633
(310) 526-0290
(310) 526-0290
Mailing address
PO BOX 16162, BEVERLY HILLS, CA 90209-2162
(310) 526-0290
(310) 526-0290
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A122804
CA
Other
Enumeration date
05/26/2011
Last updated
03/17/2018
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