Organization
PACIFIC WEST DERMATOLOGY A MEDICAL CORP
Active
Organization
PACIFIC WEST DERMATOLOGY A MEDICAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JULIAN OMIDI M.D. (OWNER OPERATOR)
(310) 927-3282
Entity
Organization
Contact information
Practice address
9001 WILSHIRE BLVD, STE 106, BEVERLY HILLS, CA 90211-1838
(310) 273-8885
(310) 273-8662
Mailing address
9001 WILSHIRE BLVD, STE 106, BEVERLY HILLS, CA 90211-1838
(310) 273-8885
(310) 273-8662
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A71181
CA
Other
Enumeration date
11/07/2006
Last updated
02/25/2009
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