Individual
CYRUS HERAVI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1024 PROSPECT AVE, LONG BEACH, CA 90804-4379
(949) 683-3704
Mailing address
1024 PROSPECT AVE, LONG BEACH, CA 90804-4379
(949) 683-3704
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95154209
CA
Other
Enumeration date
07/23/2024
Last updated
07/23/2024
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