Individual
DR. CYRUS KERMANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4650 W SUNSET BLVD # 3, CHILDRENS HOSPITAL LOS ANGELES, LOS ANGELES, CA 90027-6062
(323) 361-7854
Mailing address
393 E WALNUT ST, PHR GROUP PROVIDER ENROLLMENT UNIT 3RD FL, PASADENA, CA 91188-0001
(877) 608-0044
(877) 514-0903
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A106653
CA
Other
Enumeration date
12/03/2008
Last updated
11/04/2021
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