Benharash, Peyman

Benharash, Peyman is an individual health care provider with primary practice located at 10833 Leconte Ave Room 62-215 , Los Angeles CA 90095-0001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Benharash, Peyman can be contacted via phone (310) 206-6717.

Contact Information

Primary practice address
10833 Leconte Ave Room 62-215 Los Angeles CA 90095-0001
Fax: (310) 206-5901
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X A85379 California

Profile Details

NPI number 1003000639
LBN Legal business name Benharash, Peyman
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 27th, 2007
Last updated Nov 18th, 2019 - about 5 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 1003000639 NPPES
California MEDICAID 00A853790

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