Individual
POUYA LAVIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
300 MEDICAL PLAZA., SUITE B-200, LA, CA 90095-6975
(310) 825-2937
Mailing address
300 MEDICAL PLAZA., SUITE B-200, LA, CA 90095-6975
(310) 825-2937
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
A109429
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A109429
LICENSE
CA
Enumeration date
10/17/2007
Last updated
03/02/2011
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