Individual
KAMAL BIJANPOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3605 LONG BEACH BLVD STE 304, LONG BEACH, CA 90807-6018
(310) 559-5916
(310) 559-5466
Mailing address
3605 LONG BEACH BLVD STE 304, LONG BEACH, CA 90807-6018
(310) 559-5916
(310) 559-5466
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A109162
CA
2084P0802X
Addiction Psychiatry Physician
A109162
CA
2084P0805X
Geriatric Psychiatry Physician
A109162
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A1091620
—
CA
01
—
A109162
LICENSE
CA
Enumeration date
01/25/2009
Last updated
05/21/2021
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