| Farzin Benjamin Pedouim, M.d., Inc. | |
|
18377 Beach Blvd Ste 330 Huntington Beach CA 92648-1350 | |
| (844) 638-7637 | |
| (310) 526-8770 |
| Full Name | Farzin Benjamin Pedouim, M.d., Inc. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 18377 Beach Blvd Ste 330, Huntington Beach, California |
| Authorized Official Name and Position | Farzin B Pedouim (PRESIDENT) |
| Authorized Official Contact | 8446387637 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Farzin Benjamin Pedouim, M.d., Inc. 18377 Beach Blvd Ste 330 Huntington Beach CA 92648-1350 Ph: (844) 638-7637 | Farzin Benjamin Pedouim, M.d., Inc. 18377 Beach Blvd Ste 330 Huntington Beach CA 92648-1350 Ph: (844) 638-7637 |
| NPI Number | 1487172805 |
|---|---|
| Provider Enumeration Date | 09/06/2017 |
| Last Update Date | 09/14/2022 |
| Certification Date | 09/14/2022 |
| Medicare PECOS PAC ID | 1658647136 |
|---|---|
| Medicare Enrollment ID | O20171027002188 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487172805 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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