Individual
KIUMARS SAKETKHOO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12462 E PUTNAM ST, STE 208, WHITTIER, CA 90602-1005
(562) 789-5470
(562) 789-4480
Mailing address
PO BOX 511225, LOS ANGELES, CA 90051-3023
(562) 789-5470
(562) 789-4480
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
A32779
CA
207RP1001X
Pulmonary Disease Physician
A32779
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0084320
—
CA
Enumeration date
03/02/2006
Last updated
06/22/2010
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