Kavianian, Ali Reza

Kavianian, Ali Reza is an sole proprietor health care provider with primary practice located at 1120 W La Veta Ave Ste. 100, Orange CA 92868-4231. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Surgery, which is considered as his primary health care specialty. Kavianian, Ali Reza can be contacted via phone (714) 289-4704.

Contact Information

Primary practice address
1120 W La Veta Ave Ste. 100 Orange CA 92868-4231
Phone: (714) 289-4704
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X 036130202 Illinois

Profile Details

NPI number 1841299328
LBN Legal business name Kavianian, Ali Reza
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 18th, 2005
Last updated Aug 24th, 2015 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1841299328 NPPES
California MEDICAID 00A391620

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