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Brent Amiri

Student in an Organized Health Care Education/Training Program in Beverly Hills, CA. Individual provider (NPI-1).

NPI number1164093019
StatusActive
Last updated in NPPESJul 1, 2021

Details

NPI
1164093019
Entity type
Individual (NPI-1)
Name
Brent Amiri
Sex
Male
Sole proprietor
No
Enumeration date
Jul 1, 2021
Certification date
Jul 1, 2021
Last updated
Jul 1, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

328 S Bedford Dr
Beverly Hills, CA 90212-3725

Phone 310-488-4927

Mailing address

328 S Bedford Dr
Beverly Hills, CA 90212-3725

Phone 310-488-4927

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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