Kosari, Kambiz

Kosari, Kambiz is an sole proprietor health care provider with primary practice located at 6850 Sepulveda Blvd Suite 210, Van Nuys CA 91405-4446. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Transplant Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Kosari, Kambiz can be contacted via phone (855) 846-4712.

Contact Information

Primary practice address
6850 Sepulveda Blvd Suite 210 Van Nuys CA 91405-4446
Phone: (855) 846-4712
Fax: (888) 472-9713
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Transplant Surgery 204F00000X A94773 California
Allopathic & Osteopathic Physicians / Surgery 208600000X A94773 California

Profile Details

NPI number 1396846721
LBN Legal business name Kosari, Kambiz
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 26th, 2006
Last updated Nov 1st, 2012 - about 13 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 1396846721 NPPES
California MEDICAID 00A947730

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