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Organization
RAHA AKHAVAN, M.D., APC
Active
Organization
RAHA AKHAVAN, M.D., APC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAHA AKHAVAN M.D, (PRESIDENT)
(310) 892-9812
Entity
Organization
Contact information
Practice address
2131 W 3RD ST, LOS ANGELES, CA 90057-1901
(213) 484-7111
(213) 413-6338
Mailing address
225 S LAKE AVE, SUITE 535, PASADENA, CA 91101-3005
(626) 795-6596
(626) 795-8247
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A69155
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A691550
—
CA
01
—
00A691551
BLUE SHIELD
CA
Enumeration date
01/10/2007
Last updated
02/14/2008
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