Individual
PEYMAN KABOLIZADEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
18111 BROOKHURST ST STE LL0300, FOUNTAIN VALLEY, CA 92708-6728
(714) 962-7100
Mailing address
PO BOX 844945, LOS ANGELES, CA 90084-4945
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
A152224
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0F34985
BCBSM
MI
Enumeration date
06/03/2009
Last updated
10/15/2025
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