Individual
BENJAMIN BIJAN PEZESHKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2007 WILSHIRE BLVD FL 3, LOS ANGELES, CA 90057-3519
(213) 205-1890
Mailing address
2011 WILSHIRE BLVD STE 300, LOS ANGELES, CA 90057-3503
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A157154
CA
208D00000X
General Practice Physician
A157154
CA
208M00000X
Hospitalist Physician
A157154
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/10/2017
Last updated
12/21/2021
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