Individual
DR. KAVEH N REZVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
30230 RANCHO VIEJO RD STE 200, SAN JUAN CAPISTRANO, CA 92675-1585
(949) 443-4303
(949) 443-4033
Mailing address
30230 RANCHO VIEJO RD STE 200, SAN JUAN CAPISTRANO, CA 92675-1585
(949) 443-4303
(949) 443-4033
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
20A10932
CA
207RP1001X
Pulmonary Disease Physician
Primary
20A10932
CA
Other
Enumeration date
09/24/2009
Last updated
01/21/2020
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