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Individual

DR. VIVIAN NEGAR SHIRVANI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D., M.P.H.

Contact information

Practice address
8700 BEVERLY BLVD, WEST HOLLYWOOD, CA 90048-1804
(310) 657-9277
(310) 423-4599
Mailing address
PO BOX 16411, BEVERLY HILLS, CA 90209-2411
(310) 592-2377
(310) 423-4599

Taxonomy

Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
A72441
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00A724410
BLUE SHIELD
CA
Enumeration date
09/29/2006
Last updated
08/07/2012
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