Kangavari, Simon
Kangavari, Simon is an individual health care provider with primary practice located at 501 E Hardy St Suite 200, Inglewood CA 90301-4054. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Kangavari, Simon can be contacted via phone (310) 672-3900.Contact Information
Primary practice address
501 E Hardy St Suite 200
Inglewood CA 90301-4054
Phone: (310) 672-3900
Fax: (310) 671-8438
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X |
Profile Details
| NPI number | 1710984208 |
|---|---|
| LBN Legal business name | Kangavari, Simon |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 30th, 2005 |
| Last updated | Dec 8th, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710984208 | NPPES |
| California | Other | 95-4170981 | APEX CARDIOLOGY PROV ID |
| California | Other | W10766 | APEX CARDIOLOGY PROV ID |
| California | Other | A69521 | APEX CARDIOLOGY PROV ID |
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