Individual
DR. KAYVON ALI DOWLATSHAHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
27700 MEDICAL CENTER RD, MISSION VIEJO, CA 92691-6426
(949) 364-7710
Mailing address
2901 W COAST HWY STE 200, NEWPORT BEACH, CA 92663-4045
(949) 364-7710
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
7433
NE
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
A167279
CA
Other
Enumeration date
06/15/2015
Last updated
09/15/2021
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