Physician Compare National (NPI:1801132170)

HEALTHCARE PROVIDER: PAYUM ABDARBASHI MD

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

Individual Professional Information
NPI	1801132170
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	9931340759
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20130720000083
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	ABDARBASHI
	Individual professional last name
Provider First Name	PAYUM
	Individual professional first 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	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	6325 TOPANGA CANYON BLVD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 412
	Group Practice or individual's line 2 address
City	WOODLAND HILLS
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	913672037
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	050549
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	LOS ROBLES HOSPITAL & MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	M