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Individual

DR. PAYAM VAHEDIFAR

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
16311 VENTURA BLVD, SUITE 800, ENCINO, CA 91436-2124
(818) 788-7343
(818) 788-9453
Mailing address
16311 VENTURA BLVD, SUITE 800, ENCINO, CA 91436-2124
(818) 788-7343
(818) 788-9453

Taxonomy

Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
A63617
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A636170
CA
Enumeration date
11/10/2005
Last updated
07/08/2007
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