Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0129X | Vascular Surgeon | A68655 | CA |
NPI | 1144276262 |
---|---|
Provider Name | Amir Kaviani |
First Address | Torrance, CA 90505-4763 |
Second Address | Torrance, CA 90505-4763 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/05/2006 |
Last Update Date | 02/07/2013 |