Provider Demographics
NPI:1245278399
Name:ZAMANIAN, IRAJ (MD)
Entity type:Individual
Prefix:DR
First Name:IRAJ
Middle Name:
Last Name:ZAMANIAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3036 SANTA FE AVE
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90810-2744
Mailing Address - Country:US
Mailing Address - Phone:562-591-2785
Mailing Address - Fax:562-591-2890
Practice Address - Street 1:3036 SANTA FE AVE
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90810-2744
Practice Address - Country:US
Practice Address - Phone:562-591-2785
Practice Address - Fax:562-591-2890
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-02
Last Update Date:2025-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA42243207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA6115603001OtherCIGNA
CAWELLCAREOther3860446ADC165
CA0254010481OtherUNITED HEALTHCARE
CA100097456004OtherBLUE SHIELD OF CALIFORNIA
CA6115603004OtherCIGNA
CA0533157843OtherHEALTH NET OF CALIFORNIA
CA100097456005OtherBLUE SHIELD OF CALIFORNIA
CA1245278399OtherMOLINA HEALTHCARE
CA2781157843OtherHEALTH NET OF CALIFORNIA
CA3860446RMG161OtherWELLCARE
CAREGM11245278399OtherALIGNEMENT HEALTH
CA1683157843OtherHEALTH NET OF CALIFORNIA
CA373578-1047OtherSCAN HEALTH PLAN
CA0175520414OtherUNITED HEALTHCARE
CA373578-0661OtherSCAN HELTH PLAN
CA474761OtherAETNA
CA0925157843OtherHEALTH NET OF CALIFORNIA