MEDICARE: KAZEM PAYA MD. INC

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
1	207Q00000X	Family Medicine Physician	A29425	CA

General Provider Information

NPI Number	:	1144550468
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KAZEM PAYA MD. INC

Provider Business Mailing Address
First Line	:	1990 WESTWOOD BLVD
Second Line	:	220
City	:	LOS ANGELES
State	:	CA
Zip	:	90025-4650
Country	:	US
Telephone Number	:	310-470-6570
Fax Number	:	310-470-8525

Provider Business Practice Location Address
First Line	:	1990 WESTWOOD BLVD
Second Line	:	220
City	:	LOS ANGELES
State	:	CA
Zip	:	90025-4650
Country	:	US
Telephone Number	:	310-470-6570
Fax Number	:	310-470-8525

Authorized Official
Title or Position	:	DR.
Name	:	DR. KAZEM PAYA I
Credential	:	MD
Telephone Number	:	310-470-6570

Provider Enumeration Date	:	01/08/2010
Last Update Date	:	01/26/2010

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Directions to “KAZEM PAYA MD. INC ” Practice Location

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