Individual
ANOUSHIRAVAN EHYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
14516 HAWTHORNE BLVD, LAWNDALE, CA 90260-1519
(310) 219-0890
(310) 219-0297
Mailing address
14516 HAWTHORNE BLVD, LAWNDALE, CA 90260-1519
(310) 219-0890
(310) 219-0297
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A060345
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A060345
MEDICAL LICENSE
CA
Enumeration date
06/25/2006
Last updated
09/11/2008
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