| Dr Nazemi M D Inc | |
|
99 N La Cienega Blvd Suite 107 Beverly Hills CA 90211-2222 | |
| (310) 858-6553 | |
| (310) 659-8797 |
| Full Name | Dr Nazemi M D Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 99 N La Cienega Blvd, Beverly Hills, California |
| Authorized Official Name and Position | Reza Nazemi (PRESIDENT) |
| Authorized Official Contact | 3108586553 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Nazemi M D Inc Po Box 17460 Beverly Hills CA 90209-3460 Ph: (310) 858-6553 | Dr Nazemi M D Inc 99 N La Cienega Blvd Suite 107 Beverly Hills CA 90211-2222 Ph: (310) 858-6553 |
| NPI Number | 1700038338 |
|---|---|
| Provider Enumeration Date | 10/14/2008 |
| Last Update Date | 01/30/2009 |
| Medicare PECOS PAC ID | 1456415405 |
|---|---|
| Medicare Enrollment ID | O20090205000552 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700038338 | NPI | - | NPPES |
| A81680 | Other | CA | MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | A81680 (California) | Primary |
| Provider Name | Reza Nazemi |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1114943933 PECOS PAC ID: 4385663145 Enrollment ID: I20051122000298 |
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