Organization
IVL INFUSION CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FARZIN KHALKHALI (OWNER)
(310) 645-1500
Entity
Organization
Contact information
Practice address
6076 BRISTOL PKWY STE 103, CULVER CITY, CA 90230-6600
(310) 645-1500
(310) 645-6464
Mailing address
6076 BRISTOL PKWY STE 103, CULVER CITY, CA 90230-6600
(310) 645-1500
(310) 645-6464
Taxonomy
Speciality
Code
Description
License number
State
261QI0500X
Infusion Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
12/08/2014
Last updated
12/08/2014
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