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General NPI Number Information
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NPI Number | 1427939883
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Entity Type | Organization
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Legal Business Name | PARTOVI PHYSICIAN ASSISTANT PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 09/10/2025
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Last Update Date | 09/10/2025
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Provider Practice Location Address
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Address Line | 11600 WILSHIRE BLVD STE 322
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City | LOS ANGELES
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State | CA
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Zip | 90025-1783
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Country | US
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Telephone | 310-600-7078
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Fax |
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Provider Business Mailing Address
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Address Line | 11600 WILSHIRE BLVD STE 322
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City | LOS ANGELES
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State | CA
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Zip | 90025-1783
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PA/OWNER
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Name | MRS. PANTEHA PARTOVI
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Credential | PA
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Telephone | 310-600-7078
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2083B0002X
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Taxonomy Name | Obesity Medicine (Preventive Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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