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NPI Code Detail

MEDICARE: BRIAN KAZEMPOOR MD

MEDICARE: BRIAN KAZEMPOOR MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianA205263CA

General Provider Information

NPI Number : 1093402869
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRIAN KAZEMPOOR MD
Provider Business Mailing Address
First Line : 39000 BOB HOPE DR STE 201
Second Line :
City : RANCHO MIRAGE
State : CA
Zip : 92270-3221
Country : US
Telephone Number : 760-773-4504
Fax Number :
Provider Business Practice Location Address
First Line : 39000 BOB HOPE DR STE 201
Second Line :
City : RANCHO MIRAGE
State : CA
Zip : 92270-3221
Country : US
Telephone Number : 760-773-4504
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/20/2023
Last Update Date : 01/31/2026

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Directions to “ BRIAN KAZEMPOOR MD” Practice Location

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