Ganjianpour, Mark
Ganjianpour, Mark is an sole proprietor health care provider with primary practice located at 6330 San Vicente Blvd Suite 310, Los Angeles CA 90048-5425. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Ganjianpour, Mark can be contacted via phone (310) 855-0751.Contact Information
Primary practice address
6330 San Vicente Blvd Suite 310
Los Angeles CA 90048-5425
Phone: (310) 855-0751
Fax: (310) 358-2453
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | A71208 | California |
Profile Details
| NPI number | 1447229570 |
|---|---|
| LBN Legal business name | Ganjianpour, Mark |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 14th, 2006 |
| Last updated | Jan 29th, 2014 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1447229570 | NPPES |
| California | Other | P00068539 | RAILROAD MEDICARE |
| California | Other | 346434300 | RAILROAD MEDICARE |
| California | MEDICAID | 00A712080 | RAILROAD MEDICARE |
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