Individual
AFSHIN AKHAVAN SAFA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 MEDICAL PLZ, SUITE B265, LOS ANGELES, CA 90095-0001
(310) 825-9771
Mailing address
5767 W CENTURY BLVD, SUITE 400, LOS ANGELES, CA 90045-5631
(310) 825-9771
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
A60934
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A609340
BLUE SHIELD
CA
05
—
00A609340
—
CA
Enumeration date
06/13/2005
Last updated
02/25/2014
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