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General NPI Number Information
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NPI Number | 1265873855
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Entity Type | Organization
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Legal Business Name | KAMALBIJANPOUR INC
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Dates
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Enumeration Date | 07/11/2013
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Last Update Date | 09/12/2025
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Provider Practice Location Address
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Address Line | 3605 LONG BEACH BLVD STE 304
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City | LONG BEACH
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State | CA
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Zip | 90807-6018
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Country | US
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Telephone | 310-559-5916
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Fax |
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Provider Business Mailing Address
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Address Line | 3605 LONG BEACH BLVD STE 304
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City | LONG BEACH
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State | CA
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Zip | 90807-6018
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Country | US
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Telephone | 310-559-5916
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | KAMAL BIJANPOUR
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Credential | M.D.
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Telephone | 310-559-5916
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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 | A109162
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License Number State | CA
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