Individual
DR. FIROOZ PAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8540 S SEPULVEDA BLVD, STE 1100, LOS ANGELES, CA 90045-3819
(310) 568-8938
Mailing address
PO BOX 2350, MANHATTAN BEACH, CA 90267
(310) 488-4232
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A73904
CA
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
A73904
CA
207RN0300X
Nephrology Physician
Primary
A73904
CA
Other
Enumeration date
07/22/2005
Last updated
08/22/2016
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