Individual
KEYA MANSHADI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4650 W SUNSET BLVD, LOS ANGELES, CA 90027-6062
(949) 338-0584
Mailing address
1520 RODNEY DR APT 408, LOS ANGELES, CA 90027-5323
Taxonomy
Speciality
Code
Description
License number
State
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
Primary
A149353
CA
208000000X
Pediatrics Physician
A149353
CA
Other
Enumeration date
01/04/2018
Last updated
08/17/2023
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