# NIMA YAVARI MD, INC.

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

## Provider details

- **NPI number:** 1699030569
- **Authorized official:** DR. NIMA YAVARI M.D. (PHYSICIAN)
- **Authorized official phone:** (917) 755-9911

## Contact information

- **Practice address:** 1001 TIVERTON AVE, APT \#3129, LOS ANGELES, CA 90024-3020
- **Practice address phone:** (310) 443-7971
- **Mailing address:** 1001 TIVERTON AVE, APT \#3129, LOS ANGELES, CA 90024-3020

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | A106363 | CA | Yes |

## Other

- **Enumeration date:** 07/06/2012
- **Last updated:** 03/20/2013