Organization
PARVANEH BAHMANI, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PARVANEH BAHMANI M.D. (PRESIDENT)
(310) 508-5826
Entity
Organization
Contact information
Practice address
8631 W 3RD ST, SUITE 1140E, LOS ANGELES, CA 90048-5901
(310) 385-9008
(310) 499-0511
Mailing address
PO BOX 642, PACIFIC PALISADES, CA 90272-0642
(310) 508-5826
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
A 81644
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A816440
—
CA
Enumeration date
03/28/2007
Last updated
12/07/2010
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