Individual
DR. KEVIN HAYAVI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
15630 VENTURA BLVD, ENCINO, CA 91436-3141
(818) 817-0600
(866) 586-9678
Mailing address
PO BOX 108, BEVERLY HILLS, CA 90213-0108
(310) 975-1885
(866) 586-9678
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A70365
CA
2086S0127X
Trauma Surgery Physician
A70365
CA
208VP0014X
Interventional Pain Medicine Physician
A70365
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A70365
STATE LICENSE NUMBER
CA
Enumeration date
01/18/2007
Last updated
05/31/2023
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