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:
Health care specialties
| Specialty | Code | License # | 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 12 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 | 1396846721 | NPPES |
| California | MEDICAID | 00A947730 |
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