MEDICARE: DINAH IRANI PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363AM0700X	Medical Physician Assistant	PA21188	CA

General Provider Information

NPI Number	:	1538479282
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DINAH IRANI PA-C

Provider Business Mailing Address
First Line	:	1919 W 7TH ST
Second Line	:	2ND FLOOR
City	:	LOS ANGELES
State	:	CA
Zip	:	90057-4103
Country	:	US
Telephone Number	:	213-413-2222
Fax Number	:

Provider Business Practice Location Address
First Line	:	1919 W 7TH ST
Second Line	:	2ND FLOOR
City	:	LOS ANGELES
State	:	CA
Zip	:	90057-4103
Country	:	US
Telephone Number	:	213-413-2222
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/15/2010
Last Update Date	:	03/16/2015

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