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General NPI Number Information
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NPI Number | 1700038338
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Entity Type | Organization
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Legal Business Name | DR NAZEMI M D INC
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Dates
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Enumeration Date | 10/14/2008
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Last Update Date | 01/29/2025
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Provider Practice Location Address
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Address Line | 350 S BEVERLY DR STE 240
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City | BEVERLY HILLS
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State | CA
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Zip | 90212-4818
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Country | US
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Telephone | 310-652-0228
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 17460
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City | BEVERLY HILLS
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State | CA
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Zip | 90209-3460
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Country | US
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Telephone | 310-858-6553
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Fax | 310-659-8797
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Authorized Official
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Title or Position | PRESIDENT
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Name | REZA NAZEMI
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Credential | M.D.
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Telephone | 310-858-6553
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | A81680
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License Number State | CA
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