Motamedi, Bijan

Motamedi, Bijan is an individual health care provider with primary practice located at 15107 Vanowen St , Van Nuys CA 91405-4542. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Motamedi, Bijan can be contacted via phone (818) 902-2990.

Contact Information

Primary practice address
15107 Vanowen St Van Nuys CA 91405-4542
Phone: (818) 902-2990
Fax: (818) 904-3793
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X A76326 California

Profile Details

NPI number 1801834171
LBN Legal business name Motamedi, Bijan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2006
Last updated Jul 9th, 2007 - about 17 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 1801834171 NPPES
California Other 00A763260 BLUE SHIELD
California MEDICAID 00A763260 BLUE SHIELD
California Other A76326 BLUE SHIELD
California Other 00A763260 BLUE SHIELD
California Other 050126CH40965 BLUE SHIELD

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