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Contact Information

KAMRAN K KAMRAVA, MD
6915 RESEDA BLVD
SUITE 1
RESEDA, CA91335
 Phone: 818-343-2121
 Fax: 818-705-1622
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
Indicates primary specialty

NPI Profile & details for KAMRAN K KAMRAVA · (Male)

NPI Number 1053483800
Status Active
Credentials MD
Entity Individual
Enumeration date 11/15/2006
Last updated 12/09/2010 - About 15 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # A43281
  • CA Medicaid 00A432810
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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