# CALIFORNIA INSTITUTE FOR CV&LVS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295137016
- **Authorized official:** SAM EBRAHIMI M.D. (PRESIDENT)
- **Authorized official phone:** (818) 422-5322

## Contact information

- **Practice address:** 16030 VENTURA BLVD, 150, ENCINO, CA 91436-2731
- **Practice address phone:** (818) 900-2700
- **Mailing address:** 18375 VENTURA BLVD \# 404, TARZANA, CA 91356-4218
- **Mailing address phone:** (818) 422-5322

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | A060777 | CA | Yes |

## Other

- **Enumeration date:** 09/24/2014
- **Last updated:** 09/24/2014