Organization
PAUL P NAZEMI MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PEZHMAN P. NAZEMI M.D. (PRESIDENT)
(805) 497-7976
Entity
Organization
Contact information
Practice address
199 WEST HILLCREST DR, THOUSAND OAKS, CA 91360-4208
(805) 498-7976
(805) 497-7489
Mailing address
PO BOX 56269, SHERMAN OAKS, CA 91413-1269
(805) 498-7976
(805) 497-7489
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W22476
MEDICARE GROUP PTAN
CA
Enumeration date
06/04/2008
Last updated
05/15/2020
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