Pejman Bahari-nejad, D.o., A Professional Medical Corporation | |
20829 Ventura Blvd Woodland Hills CA 91364-2319 | |
(818) 887-2787 | |
(310) 286-0144 |
Full Name | Pejman Bahari-nejad, D.o., A Professional Medical Corporation |
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Speciality | Family Medicine |
Location | 20829 Ventura Blvd, Woodland Hills, California |
Authorized Official Name and Position | Pejman Bahari-nejad (PRESIDENT) |
Authorized Official Contact | 8188872787 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Pejman Bahari-nejad, D.o., A Professional Medical Corporation 20829 Ventura Boulevard Woodland Hills CA 91364-2319 Ph: (818) 887-2787 | Pejman Bahari-nejad, D.o., A Professional Medical Corporation 20829 Ventura Blvd Woodland Hills CA 91364-2319 Ph: (818) 887-2787 |
NPI Number | 1780958462 |
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Provider Enumeration Date | 02/28/2012 |
Last Update Date | 07/21/2015 |
Medicare PECOS PAC ID | 7719148881 |
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Medicare Enrollment ID | O20120417000406 |
Identifier | Type | State | Issuer |
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1780958462 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | 20A7938 (California) | Primary |
Provider Name | Pejman Bahari Nejad |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1396885570 PECOS PAC ID: 1456248996 Enrollment ID: I20040301000687 |
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