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General NPI Number Information
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NPI Number | 1134390933
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Entity Type | Organization
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Legal Business Name | PARVIZ FAHIMIAN MD, INC.
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Dates
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Enumeration Date | 03/19/2008
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Last Update Date | 02/19/2014
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Provider Practice Location Address
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Address Line | 435 N BEDFORD DR STE 313
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City | BEVERLY HILLS
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State | CA
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Zip | 90210-4358
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Country | US
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Telephone | 310-888-7733
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Fax | 310-888-7783
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Provider Business Mailing Address
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Address Line | 13563 VIA SAN REMO
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City | CHINO HILLS
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State | CA
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Zip | 91709-1350
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Country | US
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Telephone | 909-465-9949
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. PARVIZ D FAHIMIAN
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Credential | M.D.
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Telephone | 310-888-7733
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | A052337
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License Number State | CA
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