Individual
MR. IRA IRADJ POURATIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
325 NO. OAKHURST DRIVE, #503, BEVERLY HILLS, CA 90210-4149
(213) 393-9980
(310) 858-6656
Mailing address
325 NO. OAKHURST DRIVE, #503, BEVERLY HILLS, CA 90210-4149
(213) 393-9980
(310) 858-6656
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
CA A032128
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A032128
CA STATE LICENSE #
—
Enumeration date
01/09/2009
Last updated
03/07/2023
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