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General NPI Number Information
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NPI Number | 1699118752
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Entity Type | Organization
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Legal Business Name | KAMAL BIJANPOUR INC
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Dates
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Enumeration Date | 04/09/2013
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Last Update Date | 05/21/2021
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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 | 310-559-5466
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Provider Business Mailing Address
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Address Line | 3000 S ROBERTSON BLVD SUITE 270
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City | LOS ANGELES
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State | CA
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Zip | 90034-3158
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Country | US
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Telephone | 310-559-5916
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Fax | 310-559-5466
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Authorized Official
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Title or Position | DIRECTOR OF OPERATIONS
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Name | KAMAL BIJANPOUR
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Credential |
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Telephone | 310-801-5473
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282NC0060X
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Taxonomy Name | Critical Access Hospital
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License Number | A109162
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 305R00000X
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Taxonomy Name | Preferred Provider Organization
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License Number | A109162
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License Number State | CA
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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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Taxonomy #4
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Taxonomy Code | 2084P0802X
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Taxonomy Name | Addiction Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | A109162
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License Number State | CA
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Taxonomy #6
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Taxonomy Code | 3104A0625X
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Taxonomy Name | Assisted Living Facility (Mental Illness)
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License Number | A109162
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License Number State | CA
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Taxonomy #7
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Taxonomy Code | 3104A0630X
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Taxonomy Name | Assisted Living Facility (Behavioral Disturbances)
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License Number | A109162
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License Number State | CA
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Taxonomy #8
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | A109162
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License Number State | CA
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Taxonomy #9
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Taxonomy Code | 315D00000X
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Taxonomy Name | Inpatient Hospice
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License Number | A109162
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License Number State | CA
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Taxonomy #10
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Taxonomy Code | 283Q00000X
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Taxonomy Name | Psychiatric Hospital
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License Number | A109162
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License Number State | CA
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