Individual
JUSTIN OMEED OVEYSSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
8900 BEVERLY BLVD, WEST HOLLYWOOD, CA 90048-2438
(310) 423-2641
(310) 423-4678
Mailing address
4140 W 190TH ST, TORRANCE, CA 90504-5513
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
16908
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/06/2017
Last updated
07/05/2022
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