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General NPI Number Information
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NPI Number | 1982055489
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Entity Type | Organization
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Legal Business Name | BEST HEALTH CORP
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Dates
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Enumeration Date | 06/26/2016
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Last Update Date | 06/26/2016
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Provider Practice Location Address
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Address Line | 11600 WILSHIRE BLVD SUITE 12
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City | LOS ANGELES
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State | CA
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Zip | 90025-5781
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Country | US
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Telephone | 310-312-0101
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Fax | 310-312-0102
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Provider Business Mailing Address
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Address Line | 11600 WILSHIRE BLVD SUITE 12
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City | LOS ANGELES
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State | CA
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Zip | 90025-5781
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Country | US
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Telephone | 310-312-0101
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Fax | 310-312-0102
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Authorized Official
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Title or Position | CEO
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Name | SHADAN SAFVATI
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Credential | MD
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Telephone | 310-200-3372
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | A94212
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License Number State | CA
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