Akhavan, Bobak Jason

Akhavan, Bobak Jason is an individual health care provider with primary practice located at 4650 Lincoln Blvd , Marina Del Rey CA 90292-6306. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Akhavan, Bobak Jason can be contacted via phone (310) 823-8911.

Contact Information

Primary practice address
4650 Lincoln Blvd Marina Del Rey CA 90292-6306
Phone: (310) 823-8911
Fax: (310) 577-5694
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X R5495 Texas
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X A163091 California

Profile Details

NPI number 1982099024
LBN Legal business name Akhavan, Bobak Jason
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2015
Last updated Aug 19th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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