Individual
DR. KEYVAN AMIRIKHORHEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1830 W OLYMPIC BLVD, UNIT 124, LOS ANGELES, CA 90006-3734
(213) 383-1183
(213) 383-1184
Mailing address
485 CHINOOK LN, SAN JOSE, CA 95123-3311
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A55422
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A55422
CALIFORNIA MEDICAL BOARD
CA
Enumeration date
12/24/2007
Last updated
07/21/2016
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