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Organization
JOHN KAYVANFAR MD INC
Active
Organization
JOHN KAYVANFAR MD INC
Active
Other names
Olympic Orthopedic Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN KAYVENFAR MD (OWNER)
(661) 947-0078
Entity
Organization
Contact information
Practice address
1224 E AVENUE S STE C, PALMDALE, CA 93550-6180
(661) 947-0078
Mailing address
PO BOX 260916, ENCINO, CA 91426-0916
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A36821
CA
207X00000X
Orthopaedic Surgery Physician
Primary
A36821
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A368210
—
CA
Enumeration date
02/14/2008
Last updated
07/10/2008
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