Provider Demographics
NPI:1043656341
Name:NANCY P. RAHNAMA, M.D., A.P.C.
Entity type:Organization
Organization Name:NANCY P. RAHNAMA, M.D., A.P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:P
Authorized Official - Last Name:RAHNAMA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:310-299-7373
Mailing Address - Street 1:421 N RODEO DR
Mailing Address - Street 2:PENTHOUSE NUMBER 1
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90210-4500
Mailing Address - Country:US
Mailing Address - Phone:310-299-7373
Mailing Address - Fax:310-432-6647
Practice Address - Street 1:421 N RODEO DR
Practice Address - Street 2:PENTHOUSE NUMBER 1
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90210-4500
Practice Address - Country:US
Practice Address - Phone:310-299-7373
Practice Address - Fax:310-432-6647
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-14
Last Update Date:2013-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA107568207RB0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RB0002XAllopathic & Osteopathic PhysiciansInternal MedicineObesity MedicineGroup - Single Specialty