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Individual

JOHN J. KAYVANFAR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
40005 10TH STREET WEST #213, PALMDALE, CA 93551-3013
(661) 947-0078
(661) 947-8665
Mailing address
PO BOX 260916, ENCINO, CA 91426-0916
(661) 947-0078
(661) 947-8665

Taxonomy

Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
A036821
CA
207RR0500X
Rheumatology Physician
A036821
CA
207X00000X
Orthopaedic Surgery Physician
Primary
A36821
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A368210
CA
Enumeration date
11/07/2006
Last updated
07/20/2012
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