Individual
SIAVOSH VAKILIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3366 5TH AVE, SAN DIEGO, CA 92103-5713
(619) 230-0400
(858) 429-7936
Mailing address
PO BOX 845996, LOS ANGELES, CA 90084-3592
(858) 888-7700
(858) 221-5036
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
A133482
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CB366085
MEDICARE PIN
CA
Enumeration date
12/11/2014
Last updated
06/01/2021
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