Healthcare Provider Details

I. General information

NPI: 1033679469
Provider Name (Legal Business Name): PEJMAN MAJD MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/21/2019
Last Update Date: 06/24/2024
Certification Date: 06/24/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

147 N BRENT ST
VENTURA CA
93003-2809
US

IV. Provider business mailing address

333 CITY BLVD W STE 2150
ORANGE CA
92868-5920
US

V. Phone/Fax

Practice location:
  • Phone: 805-948-5011
  • Fax:
Mailing address:
  • Phone: 714-456-6661
  • Fax: 714-456-7702

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberA179006
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: