Siamak Stephen Marzban,M.D.,Inc

LBN: Siamak Stephen Marzban,M.D.,Inc
Siamak Stephen Marzban,M.D.,Inc is an health care organization with primary practice located at 2403 S Moray Ave , San Pedro CA 90732-4342. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Siamak Stephen Marzban,M.D.,Inc can be contacted via phone (310) 832-2694, or through Marzban, Siamak Stephen via phone (310) 832-2694.

Contact Information

Primary practice address
2403 S Moray Ave San Pedro CA 90732-4342
Phone: (310) 832-2694
Fax: (310) 547-0140
Website:
Map and Directions
Authorized official contact:
Name: Marzban, Siamak Stephen Doctor of Medicine (MD)
Phone: (310) 832-2694

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X A048221 California

Profile Details

NPI number 1699076885
LBN Legal business name Siamak Stephen Marzban,M.D.,Inc
DBA Doing business as
Authorized official Marzban, Siamak Stephen Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 4th, 2010
Last updated Nov 4th, 2010 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699076885 NPPES
California MEDICAID 00A482211

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