Majlessipour, Fataneh

Majlessipour, Fataneh is an individual health care provider with primary practice located at 127 S San Vicente Blvd Fl 7 , Los Angeles CA 90048-3311. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology, which is considered as her primary health care specialty. Majlessipour, Fataneh can be contacted via phone (310) 423-4423.

Contact Information

Primary practice address
127 S San Vicente Blvd Fl 7 Los Angeles CA 90048-3311
Fax: (310) 967-1141
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology 2080P0207X A55526 California

Profile Details

NPI number 1740330927
LBN Legal business name Majlessipour, Fataneh
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2007
Last updated Dec 8th, 2021 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740330927 NPPES
California MEDICAID 00A555260

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