Individual
MR. SIMON BOOSTANFAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1250 LA VENTA RD STE 209, WESTLAKE VILLAGE, CA 91361-3767
(805) 497-1649
(805) 497-1069
Mailing address
1250 LA VENTA RD STE 209, WESTLAKE VILLAGE, CA 91361-3767
(805) 497-1649
(805) 497-1069
Taxonomy
Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
A031384
CA
Other
Enumeration date
08/12/2006
Last updated
07/08/2007
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