Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | A103319 | CA |
NPI | 1013124635 |
---|---|
Provider Name | Kiarash Rowhanian |
First Address | West Hills, CA 91308-4423 |
Second Address | Woodland Hills, CA 91364 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/05/2007 |
Last Update Date | 24/12/2020 |