Organization
KIUMARS SAKETKHOO MD, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIUMARS SAKETKHOO M.D. (PRESIDENT)
(562) 789-5470
Entity
Organization
Contact information
Practice address
12462 PUTNAM STREET, STE 208, WHITTIER, CA 90602-1005
(562) 789-5470
(562) 789-4480
Mailing address
PO BOX 511225, LOS ANGELES, CA 90051-3023
(562) 789-5470
(562) 789-4480
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
A32779
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0084320
—
CA
Enumeration date
03/21/2007
Last updated
07/01/2009
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