| Mehrdad Pakdaman Md Inc | |
|
1115 S Robertson Blvd Los Angeles CA 90035-1403 | |
| (310) 659-9999 | |
| Not Available |
| Full Name | Mehrdad Pakdaman Md Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1115 S Robertson Blvd, Los Angeles, California |
| Authorized Official Name and Position | Mehrdad Pakdaman (MD) |
| Authorized Official Contact | 3106599999 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mehrdad Pakdaman Md Inc 1115 S Robertson Blvd Los Angeles CA 90035-1403 Ph: (310) 659-9999 | Mehrdad Pakdaman Md Inc 1115 S Robertson Blvd Los Angeles CA 90035-1403 Ph: (310) 659-9999 |
| NPI Number | 1396071304 |
|---|---|
| Provider Enumeration Date | 10/26/2009 |
| Last Update Date | 01/06/2012 |
| Medicare PECOS PAC ID | 5496924029 |
|---|---|
| Medicare Enrollment ID | O20110816000296 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396071304 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | A88797 (California) | Primary |
| Provider Name | Mehrdad Pakdaman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942352315 PECOS PAC ID: 3476560996 Enrollment ID: I20060308000487 |
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