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General NPI Number Information
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NPI Number | 1306895552
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Entity Type | Organization
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Legal Business Name | FEDERAL MEDICAL GROUP INC
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Dates
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Enumeration Date | 05/07/2006
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Last Update Date | 03/16/2012
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Provider Practice Location Address
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Address Line | 1700 WESTWOOD BLVD 1ST FLOOR
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City | LOS ANGELES
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State | CA
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Zip | 90024-5608
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Country | US
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Telephone | 310-234-6600
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Fax | 310-234-6604
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Provider Business Mailing Address
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Address Line | 1700 WESTWOOD BLVD 1ST FLOOR
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City | LOS ANGELES
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State | CA
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Zip | 90024-5608
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Country | US
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Telephone | 310-234-6600
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Fax | 310-234-6604
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Authorized Official
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Title or Position | OWNER
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Name | DR. SOHRAB YAMINI
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Credential | MD
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Telephone | 310-234-6600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | A40040
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License Number State | CA
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