Individual
DR. MAHYAR OKHOVAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11022 SANTA MONICA BLVD STE 310, LOS ANGELES, CA 90025-7558
(805) 557-0096
(805) 557-7360
Mailing address
11022 SANTA MONICA BLVD STE 310, LOS ANGELES, CA 90025-7558
(818) 918-2766
(818) 921-4168
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
A85646
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A856460
MEDICAL PPIN #
CA
Enumeration date
07/14/2006
Last updated
04/09/2025
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