| Ben Zandpour Md Inc | |
|
32357 Phantom Dr Rancho Palos Verdes CA 90275-6112 | |
| (949) 400-8867 | |
| (310) 374-9196 |
| Full Name | Ben Zandpour Md Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 32357 Phantom Dr, Rancho Palos Verdes, California |
| Authorized Official Name and Position | Ben Zandpour (PRESIDENT) |
| Authorized Official Contact | 9494008867 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ben Zandpour Md Inc 32357 Phantom Dr Rancho Palos Verdes CA 90275-6112 Ph: (949) 400-8867 | Ben Zandpour Md Inc 32357 Phantom Dr Rancho Palos Verdes CA 90275-6112 Ph: (949) 400-8867 |
| NPI Number | 1184880650 |
|---|---|
| Provider Enumeration Date | 08/04/2008 |
| Last Update Date | 08/14/2023 |
| Medicare PECOS PAC ID | 6204984271 |
|---|---|
| Medicare Enrollment ID | O20090430000329 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184880650 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Ben Zandpour |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386655843 PECOS PAC ID: 5698790202 Enrollment ID: I20051012001214 |
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