| Bahman Lalezari,m.d.inc | |
|
4944 W Pico Blvd Los Angeles CA 90019-4228 | |
| (323) 939-5346 | |
| (323) 939-5217 |
| Full Name | Bahman Lalezari,m.d.inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 4944 W Pico Blvd, Los Angeles, California |
| Authorized Official Name and Position | Bahman Lalezari (PRESIDENT) |
| Authorized Official Contact | 3239395346 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bahman Lalezari,m.d.inc 4944 W Pico Blvd Los Angeles CA 90019-4228 Ph: (323) 939-5346 | Bahman Lalezari,m.d.inc 4944 W Pico Blvd Los Angeles CA 90019-4228 Ph: (323) 939-5346 |
| NPI Number | 1205137452 |
|---|---|
| Provider Enumeration Date | 11/04/2010 |
| Last Update Date | 11/04/2010 |
| Medicare PECOS PAC ID | 8628264785 |
|---|---|
| Medicare Enrollment ID | O20101201000568 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205137452 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Bahman B Lalezari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891802013 PECOS PAC ID: 0446446439 Enrollment ID: I20101202000875 |
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