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General NPI Number Information
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NPI Number | 1265118699
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Entity Type | Organization
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Legal Business Name | PREMIER WOMENS IMAGING
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Dates
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Enumeration Date | 06/22/2023
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Last Update Date | 04/14/2025
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Provider Practice Location Address
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Address Line | 99 N LA CIENEGA BLVD STE 104
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City | BEVERLY HILLS
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State | CA
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Zip | 90211-2286
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Country | US
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Telephone | 310-927-0002
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 7328
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City | ORANGE
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State | CA
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Zip | 92863-7328
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Country | US
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Telephone | 818-336-5248
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Fax |
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Authorized Official
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Title or Position | MANAGING PARTNER
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Name | PAYAM KASHFIAN
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Credential | MD
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Telephone | 310-622-3309
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State |
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