| Pejman D Shamekh, M.d., Inc | |
|
2080 Century Park E Ste 1207 Los Angeles CA 90067-2015 | |
| (310) 788-0074 | |
| (310) 277-3659 |
| Full Name | Pejman D Shamekh, M.d., Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2080 Century Park E Ste 1207, Los Angeles, California |
| Authorized Official Name and Position | Pejman David Shamekh (PRESIDENT) |
| Authorized Official Contact | 3102799328 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pejman D Shamekh, M.d., Inc Po Box 6033 Beverly Hills CA 90212-1033 Ph: (310) 788-0074 | Pejman D Shamekh, M.d., Inc 2080 Century Park E Ste 1207 Los Angeles CA 90067-2015 Ph: (310) 788-0074 |
| NPI Number | 1265672794 |
|---|---|
| Provider Enumeration Date | 02/24/2009 |
| Last Update Date | 02/02/2012 |
| Medicare PECOS PAC ID | 6901955319 |
|---|---|
| Medicare Enrollment ID | O20090514000064 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265672794 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A85239 (California) | Primary |
| Provider Name | Pejman D Shamekh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982620134 PECOS PAC ID: 8921050915 Enrollment ID: I20050217000868 |
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