Mehdizadeh, Omid Benjamin

Mehdizadeh, Omid Benjamin is an individual health care provider with primary practice located at 2125 Arizona Ave , Santa Monica CA 90404-1337. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Mehdizadeh, Omid Benjamin can be contacted via phone (310) 829-8701.

Contact Information

Primary practice address
2125 Arizona Ave Santa Monica CA 90404-1337
Fax: (310) 315-4062
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 150014 California

Profile Details

NPI number 1770816464
LBN Legal business name Mehdizadeh, Omid Benjamin
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2009
Last updated May 16th, 2022 - about 2 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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