Organization
KAMRAN MATIN, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAMRAN MATIN M.D. (CARDIOLOGIST)
(310) 508-9744
Entity
Organization
Contact information
Practice address
435 N BEDFORD DR, SUITE 312, BEVERLY HILLS, CA 90210-4321
(310) 285-0808
Mailing address
1907 KELTON AVE, LOS ANGELES, CA 90025-5701
(310) 473-9379
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
A066711
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A667111
—
CA
01
—
1225074982
INDIVIDUAL NPI NUMBER
CA
05
—
OOA667110
—
CA
Enumeration date
11/03/2006
Last updated
08/22/2020
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