PAYMAN VAHEDIFAR A PROFESSIONAL MEDICAL CORPORATION NPI 1053628511

NPI Information

  • NPI: 1053628511
  • Provider Name: PAYMAN VAHEDIFAR A PROFESSIONAL MEDICAL CORPORATION
  • Classification: Internal Medicine - 207RN0300X
  • Specialization: Nephrology
  • Entity Type: Organization
  • Address: 240 S LA CIENEGA BLVD
    SUITE 102
    BEVERLY HILLS, CA
    ZIP 90211
  • Phone: (310) 288-0808

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NPI Details

PAYMAN VAHEDIFAR A PROFESSIONAL MEDICAL CORPORATION is a nephrology internal medicine in Beverly Hills, CA. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. PAYMAN VAHEDIFAR A PROFESSIONAL MEDICAL CORPORATION NPI is 1053628511. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

240 S LA CIENEGA BLVD
SUITE 102
BEVERLY HILLS, CA
ZIP 90211-324
Phone: (310) 288-0808
Fax: (310) 288-0080

The provider's authorized official is Payman Vahedifar .
The authorized official title is President and has the following contact phone number (310) 288-0808.

The enumeration date for this NPI number is 9/4/2010 and was last updated on 9/4/2010.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RN0300XInternal MedicineNephrologyYes

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This page was last updated on: 3/30/2025

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