# JOHN KAYVANFAR 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
- **Other names:** Olympic Orthopedic Medical Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659549400
- **Authorized official:** JOHN KAYVENFAR MD (OWNER)
- **Authorized official phone:** (661) 947-0078

## Contact information

- **Practice address:** 1224 E AVENUE S STE C, PALMDALE, CA 93550-6180
- **Practice address phone:** (661) 947-0078
- **Mailing address:** PO BOX 260916, ENCINO, CA 91426-0916

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | A36821 | CA | — |
| 207X00000X | Orthopaedic Surgery Physician | A36821 | CA | Yes |

## Other

- **Enumeration date:** 02/14/2008
- **Last updated:** 07/10/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00A368210 | — | CA |