Organization
KHODAMRAD PAYMAN, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KHODAM-RAD PAYMAN M.D. (PRESIDENT)
(310) 428-6667
Entity
Organization
Contact information
Practice address
17525 VENTURA BLVD, SUITE 203, ENCINO, CA 91316-3843
(818) 986-0200
(818) 986-4393
Mailing address
17525 VENTURA BLVD, SUITE 203, ENCINO, CA 91316-3843
(818) 986-0200
(818) 986-4393
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
A75190
CA
Other
Enumeration date
09/26/2007
Last updated
01/13/2009
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