Organization
CENTER FOR ADVANCED VASCULAR INTERVENTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEHRAN J KHORSANDI MD (PRESIDENT)
(818) 905-5904
Entity
Organization
Contact information
Practice address
18226 VENTURA BLVD STE 102, TARZANA, CA 91356-4246
Mailing address
8635 W 3RD ST STE 695W, LOS ANGELES, CA 90048-6162
(818) 905-5904
(310) 967-2140
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Enumeration date
10/23/2017
Last updated
10/23/2017
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