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
Fax: (818) 788-9453
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861473464 NPPES
California MEDICAID 00A636170

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