Organization
ASHKAN GHAVAMI, M.D. A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ASHKAN GHAVAMI M.D. (PRESIDENT)
(310) 855-2110
Entity
Organization
Contact information
Practice address
433 N CAMDEN DR, SUITE 780, BEVERLY HILLS, CA 90210-4409
(310) 275-1959
(310) 887-4705
Mailing address
1797 ROYAL SAINT GEORGE DR, WESTLAKE VILLAGE, CA 91362-4320
(310) 855-2110
(310) 887-4707
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
A98255
CA
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
A98255
CA
Other
Enumeration date
08/29/2007
Last updated
08/29/2007
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