Physician Compare National (NPI:1649567165)

HEALTHCARE PROVIDER: FARZIN BENJAMIN PEDOUIM M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1649567165
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1254655848
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20150202000011
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	PEDOUIM
	Individual professional last name
Provider First Name	FARZIN
	Individual professional first name
Provider Middle Name	B
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2009
	Individual professional's medical school graduation year
Primary Specialty	NEUROLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	8631 W 3RD ST
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 1030
	Group Practice or individual's line 2 address
City	LOS ANGELES
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	900485913
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	050526
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	HUNTINGTON BEACH HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	050230
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	GARDEN GROVE HOSPITAL & MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	050327
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	LOMA LINDA UNIVERSITY MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	050426
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	WEST ANAHEIM MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 4
Professional Accepts Medicare Assignment	Y