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General NPI Number Information
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NPI Number | 1295197200
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Entity Type | Individual
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Provider Name | PEYMAN TASHKANDI D.O
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Gender | Male
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Dates
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Enumeration Date | 03/28/2016
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Last Update Date | 07/30/2025
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Provider Practice Location Address
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Address Line | 435 N ROXBURY DR STE 407
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City | BEVERLY HILLS
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State | CA
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Zip | 90210-5006
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Country | US
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Telephone | 424-303-8188
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Fax | 424-326-1994
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Provider Business Mailing Address
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Address Line | 435 N ROXBURY DR STE 407
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City | BEVERLY HILLS
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State | CA
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Zip | 90210-5006
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Country | US
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Telephone | 424-303-8188
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Fax | 424-326-1994
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | 20A16618
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 20A16618
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License Number State | CA
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