Individual
DR. KEVIN GHASSEMI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 UCLA MEDICAL PLAZA, SUITE 700, LOS ANGELES, CA 90095-6970
(310) 208-5400
(310) 208-3788
Mailing address
100 UCLA MEDICAL PLAZA, SUITE 700, LOS ANGELES, CA 90095-6970
(310) 208-5400
(310) 208-3788
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A92568
CA
207RG0100X
Gastroenterology Physician
Primary
A92568
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1508062654
CCS PANELED
CA
05
—
1508062654
—
CA
Enumeration date
06/25/2007
Last updated
07/11/2011
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