Provider Demographics
NPI:1659627115
Name:BIERMAN, DINA FARSHIDI (MD)
Entity Type:Individual
Prefix:DR
First Name:DINA
Middle Name:FARSHIDI
Last Name:BIERMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:630 BIENVENEDA AVE
Mailing Address - Street 2:
Mailing Address - City:PACIFIC PALISADES
Mailing Address - State:CA
Mailing Address - Zip Code:90272-3337
Mailing Address - Country:US
Mailing Address - Phone:714-287-5284
Mailing Address - Fax:
Practice Address - Street 1:1811 WILSHIRE BLVD STE 110
Practice Address - Street 2:
Practice Address - City:SANTA MONICA
Practice Address - State:CA
Practice Address - Zip Code:90403-5626
Practice Address - Country:US
Practice Address - Phone:310-829-0260
Practice Address - Fax:310-829-0263
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-01
Last Update Date:2024-01-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA124111207ND0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207ND0101XAllopathic & Osteopathic PhysiciansDermatologyMOHS-Micrographic SurgeryGroup - Single Specialty