Organization
POUYA BENYAMINI MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. POUYA BENYAMINI MD (PRESIDENT)
(310) 801-5655
Entity
Organization
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
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
10/27/2017
Last updated
03/17/2018
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