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General NPI Number Information
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NPI Number | 1255566840
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Entity Type | Organization
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Legal Business Name | PAYAM JARRAHNEJAD MD A PROFESSIONAL MEDICAL CORPORATION
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Dates
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Enumeration Date | 05/26/2009
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Last Update Date | 11/28/2018
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Provider Practice Location Address
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Address Line | 465 N ROXBURY DR STE 1017
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City | BEVERLY HILLS
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State | CA
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Zip | 90210-4213
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Country | US
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Telephone | 310-993-3800
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Fax | 310-388-1617
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Provider Business Mailing Address
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Address Line | 465 N ROXBURY DR STE 1017
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City | BEVERLY HILLS
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State | CA
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Zip | 90210-4213
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Country | US
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Telephone | 310-993-3800
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Fax | 310-388-1617
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Authorized Official
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Title or Position | OWNER
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Name | PAYAM JARRAHNEJAD
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Credential | MD
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Telephone | 310-993-3800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0105X
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Taxonomy Name | Surgery of the Hand (Surgery) Physician
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License Number | A89098
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 2086S0122X
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Taxonomy Name | Plastic and Reconstructive Surgery Physician
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License Number | A89098
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License Number State | CA
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