Organization
KAMAL BIJANPOUR INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAMAL BIJANPOUR (DIRECTOR OF OPERATIONS)
(310) 801-5473
Entity
Organization
Contact information
Practice address
3605 LONG BEACH BLVD STE 304, LONG BEACH, CA 90807-6018
(310) 559-5916
(310) 559-5466
Mailing address
3000 S ROBERTSON BLVD, SUITE 270, LOS ANGELES, CA 90034-3158
(310) 559-5916
(310) 559-5466
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
—
—
2084P0802X
Addiction Psychiatry Physician
—
—
282NC0060X
Critical Access Hospital
A109162
CA
283Q00000X
Psychiatric Hospital
Primary
A109162
CA
305R00000X
Preferred Provider Organization
A109162
CA
310400000X
Assisted Living Facility
A109162
CA
3104A0625X
Assisted Living Facility (Mental Illness)
A109162
CA
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
A109162
CA
314000000X
Skilled Nursing Facility
A109162
CA
315D00000X
Inpatient Hospice
A109162
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A1091620
—
CA
Enumeration date
04/09/2013
Last updated
05/21/2021
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