Healthcare Provider Details

I. General information

NPI: 1275781411
Provider Name (Legal Business Name): NANCY P RAHNAMA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/29/2008
Last Update Date: 01/14/2025
Certification Date: 01/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

436 N BEDFORD DR STE 209
BEVERLY HILLS CA
90210-4312
US

IV. Provider business mailing address

436 N BEDFORD DR STE 209
BEVERLY HILLS CA
90210-4312
US

V. Phone/Fax

Practice location:
  • Phone: 310-299-7373
  • Fax:
Mailing address:
  • Phone: 310-299-7373
  • Fax: 310-504-3602

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberA107568
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207RB0002X
TaxonomyObesity Medicine (Internal Medicine) Physician
License NumberA107568
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: