Individual
MITCHELL KAMRAVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8700 BEVERLY BLVD, WEST HOLLYWOOD, CA 90048
(310) 423-1858
Mailing address
8700 BEVERLY BLVD, WEST HOLLYWOOD, CA 90048-1804
(310) 423-1858
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
A99555
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A995550
—
CA
Enumeration date
06/01/2007
Last updated
09/04/2019
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