Pezeshki, Kevin

Pezeshki, Kevin is an individual health care provider with primary practice located at 13750 Victory Blvd , Van Nuys CA 91401-2324. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Pezeshki, Kevin can be contacted via phone (818) 909-9955.

Contact Information

Primary practice address
13750 Victory Blvd Van Nuys CA 91401-2324
Phone: (818) 909-9955
Fax: (818) 909-0454
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X A67148 California

Profile Details

NPI number 1538207089
LBN Legal business name Pezeshki, Kevin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 4th, 2007
Last updated Jul 8th, 2007 - about 17 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 1538207089 NPPES
California MEDICAID GR0090250

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