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AFSHIN AKHAVAN D.O. A PROFESSIONAL CORPORATION NPI 1821210329


NPI Information

NPI: 1821210329
Provider Name: AFSHIN AKHAVAN D.O., A PROFESSIONAL CORPORATION

Doing Business As: MEDICAL CENTRAL FAMILY CARE

Classification: General Practice - 208D00000X
Entity Type: Organization

CLIA Number: 05D1036621

Address:
530 E WASHINGTON BLVD
LOS ANGELES, CA
ZIP 90015
Phone: (213) 747-2626
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AFSHIN AKHAVAN D.O., A PROFESSIONAL CORPORATION is a general practice in Los Angeles, CA. AFSHIN AKHAVAN D.O., A PROFESSIONAL CORPORATION NPI is 1821210329. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Medical Central Family Care.

The provider's business location address is:

530 E WASHINGTON BLVD
LOS ANGELES, CA
ZIP 90015-723
Phone: (213) 747-2626
Fax: (213) 749-7500

The provider's authorized official is Afshin Akhavan .
The authorized official title is President And Medical Director and has the following contact phone number (323) 730-1663.

The CLIA number assigned to this NPI record is 05D1036621 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/3/2007 and was last updated on 10/15/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208D00000XGeneral Practice20A7610CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1W18131MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIAMEDICARE GROUP PROVIDER#

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.