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NPI Code Detail

MEDICARE: DR. PAYMAN KHORRAMI MD

MEDICARE:  DR. PAYMAN  KHORRAMI  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
1207RG0100XGastroenterology PhysicianG73031CA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2100009555OTHERCAMEDICARE RAILROAD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1275563207
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PAYMAN KHORRAMI MD
Provider Business Mailing Address
First Line : 2080 CENTURY PARK EAST
Second Line : SUITE 1804
City : LOS ANGELES
State : CA
Zip : 90067-2021
Country : US
Telephone Number : 310-553-5588
Fax Number : 310-553-5590
Provider Business Practice Location Address
First Line : 2080 CENTURY PARK EAST
Second Line : SUITE 1804
City : LOS ANGELES
State : CA
Zip : 90067-2021
Country : US
Telephone Number : 310-553-5588
Fax Number : 310-553-5590
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/04/2006
Last Update Date : 09/20/2007

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Directions to “ DR. PAYMAN KHORRAMI MD” Practice Location

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