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Organization

APA MEDICAL GROUP, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PEDRAM ENAYATI M.D. (AUTHORIZED OFFICIAL)
(310) 409-3611
Entity
Organization

Contact information

Practice address
10921 WILSHIRE BLVD STE 1111, LOS ANGELES, CA 90024-4005
(310) 879-5203
Mailing address
505 16TH ST, SANTA MONICA, CA 90402-3001
(310) 409-3611

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary

Other

Enumeration date
11/28/2022
Last updated
04/17/2024
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