| Peiman Berdjis Md Inc | |
|
6222 Wilshire Blvd Ste 303 Los Angeles CA 90048-5193 | |
| (323) 525-1999 | |
| (323) 525-1991 |
| Full Name | Peiman Berdjis Md Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 6222 Wilshire Blvd Ste 303, Los Angeles, California |
| Authorized Official Name and Position | Peiman Berdjis (PRESIDENT) |
| Authorized Official Contact | 3102772999 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Peiman Berdjis Md Inc Po Box 5349 Beverly Hills CA 90209-5349 Ph: (323) 525-1999 | Peiman Berdjis Md Inc 6222 Wilshire Blvd Ste 303 Los Angeles CA 90048-5193 Ph: (323) 525-1999 |
| NPI Number | 1841325099 |
|---|---|
| Provider Enumeration Date | 02/21/2007 |
| Last Update Date | 08/30/2011 |
| Medicare PECOS PAC ID | 2961457643 |
|---|---|
| Medicare Enrollment ID | O20050315000937 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841325099 | NPI | - | NPPES |
| 00A671730 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A067173 (California) | Primary |
| Provider Name | Peiman Berdjis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326150590 PECOS PAC ID: 6406801182 Enrollment ID: I20050315000938 |
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