Individual
KEYVAN ESMAEILI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2840 LONG BEACH BLVD, 130, LONG BEACH, CA 90806-1516
(562) 424-8111
(562) 492-6830
Mailing address
2840 LONG BEACH BLVD, 130, LONG BEACH, CA 90806-1516
(562) 424-8111
(562) 492-6830
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
A72887
CA
Other
Enumeration date
07/03/2006
Last updated
07/08/2007
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