Organization
KEIVAN GOLCHINI, MD INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEIVAN GOLCHINI MD (CEO)
(310) 276-7649
Entity
Organization
Contact information
Practice address
9100 WILSHIRE BLVD, SUITE 245, BEVERLY HILLS, CA 90212-3401
(310) 276-7649
Mailing address
9100 WILSHIRE BLVD, SUITE 245, BEVERLY HILLS, CA 90212-3401
(310) 276-7649
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
A48800
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
A48800
—
CA
Enumeration date
11/17/2010
Last updated
11/17/2010
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