Vahedifar, Payam
Vahedifar, Payam is an individual health care provider with primary practice located at 16311 Ventura Blvd Suite 800, Encino CA 91436-2124. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Vahedifar, Payam can be contacted via phone (818) 788-7343.Contact Information
Primary practice address
16311 Ventura Blvd Suite 800
Encino CA 91436-2124
Phone: (818) 788-7343
Fax: (818) 788-9453
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pain Medicine | 2081P2900X | A63617 | California |
Profile Details
NPI number | 1861473464 |
---|---|
LBN Legal business name | Vahedifar, Payam |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 10th, 2005 |
Last updated | Jul 8th, 2007 - about 18 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 | 1861473464 | NPPES |
California | MEDICAID | 00A636170 |
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