MEDICARE: PEJMAN DAVID LAHIJI M.D.

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	207L00000X	Anesthesiology Physician	ME161344	FL
2	207L00000X	Anesthesiology Physician	A85860	CA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	W13274	OTHER	CA	GROUP MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	00A858600	OTHER	CA	BLUE SHIELD

General Provider Information

NPI Number	:	1750301339
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PEJMAN DAVID LAHIJI M.D.

Provider Business Mailing Address
First Line	:	4924 BALBOA BLVD # 367
Second Line	:
City	:	ENCINO
State	:	CA
Zip	:	91316-3402
Country	:	US
Telephone Number	:	423-315-9172
Fax Number	:	--

Provider Business Practice Location Address
First Line	:	4924 BALBOA BLVD # 367
Second Line	:
City	:	ENCINO
State	:	CA
Zip	:	91316-3402
Country	:	US
Telephone Number	:	423-315-9172
Fax Number	:	--

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/19/2006
Last Update Date	:	04/11/2025

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Directions to “ PEJMAN DAVID LAHIJI M.D.” Practice Location

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