Individual
DR. MICHAEL JAVAHERI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9735 WILSHIRE BLVD STE 219, BEVERLY HILLS, CA 90212-2110
(310) 858-6569
(310) 858-3922
Mailing address
9735 WILSHIRE BLVD STE 219, BEVERLY HILLS, CA 90212-2110
(310) 858-6569
(310) 858-3922
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
A94767
CA
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
A94767
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1124298575
NPI
CA
Enumeration date
02/29/2008
Last updated
12/06/2023
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