# KEIVAN GOLCHINI, MD INC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1306148796
- **Authorized official:** KEIVAN GOLCHINI MD (CEO)
- **Authorized official phone:** (310) 276-7649

## Contact information

- **Practice address:** 9100 WILSHIRE BLVD, SUITE 245, BEVERLY HILLS, CA 90212-3401
- **Practice address phone:** (310) 276-7649
- **Mailing address:** 9100 WILSHIRE BLVD, SUITE 245, BEVERLY HILLS, CA 90212-3401
- **Mailing address phone:** (310) 276-7649

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | A48800 | CA | Yes |

## Other

- **Enumeration date:** 11/17/2010
- **Last updated:** 11/17/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | A48800 | — | CA |