Organization
EVISH KAMRAVA MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EVISH KAMRAVA MD (PRESIDENT)
(805) 601-7772
Entity
Organization
Contact information
Practice address
32144 AGOURA RD STE 200, WESTLAKE VILLAGE, CA 91361-4031
(805) 601-7772
(805) 601-7773
Mailing address
PO BOX 3129, TORRANCE, CA 90510-3129
(310) 792-3914
(855) 898-4055
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
A125995
CA
Other
Enumeration date
07/15/2016
Last updated
07/26/2022
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