Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | A48107 | CA |
NPI | 1043385289 |
---|---|
Provider Name | Mr. A Kevin Aminian |
First Address | Beverly Hills, CA 90211 |
Second Address | Beverly Hills, CA 90211 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/11/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00A481070 | (05) | CA |
00A481070 | BLUE SHIELD (01) | CA |
F39010 | (02) |