Individual
PARVANEH BAHMANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
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
A81644
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A816440
—
CA
Enumeration date
08/11/2006
Last updated
12/07/2010
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