Individual
EDWIN AMIRIANFAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2080 CENTURY PARK E STE 300, LOS ANGELES, CA 90067-2006
(424) 363-1000
Mailing address
1548 KELTON AVE, LOS ANGELES, CA 90024-5504
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
05597
KY
208100000X
Physical Medicine & Rehabilitation Physician
Primary
20A22377
CA
Other
Enumeration date
03/19/2019
Last updated
09/25/2024
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