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BENJAMIN BEHROOZAN M D INC NPI 1639234362


NPI Information

NPI: 1639234362
Provider Name: BENJAMIN BEHROOZAN M D INC

Doing Business As: GREAT CARE MEDICAL GROUP

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
2221 LINCOLN BLVD
SUITE 200
SANTA MONICA, CA
ZIP 90405
Phone: (310) 396-9999
Get Directions

BENJAMIN BEHROOZAN M D INC is a family medicine in Santa Monica, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. BENJAMIN BEHROOZAN M D INC NPI is 1639234362. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Great Care Medical Group.

The provider's business location address is:

2221 LINCOLN BLVD
SUITE 200
SANTA MONICA, CA
ZIP 90405-320
Phone: (310) 396-9999
Fax: (310) 664-8901

The provider's authorized official is Benjamin Behroozan .
The authorized official title is MEDICAL DIRECTORDirector and has the following contact phone number (310) 396-9999.

The enumeration date for this NPI number is 12/22/2006 and was last updated on 7/18/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineA41374CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1GR0026800MEDICAIDCALIFORNIA
2E98966MEDICARE UPINCALIFORNIA
3W10352MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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