Individual
KAMRAN K KAMRAVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6915 RESEDA BLVD, SUITE 1, RESEDA, CA 91335
(818) 343-2121
(818) 705-1622
Mailing address
6915 RESEDA BLVD, SUITE 1, RESEDA, CA 91335
(818) 343-2121
(818) 705-1622
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A43281
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A432810
—
CA
Enumeration date
11/15/2006
Last updated
12/09/2010
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