Healthcare Provider Details

I. General information

NPI: 1346219045
Provider Name (Legal Business Name): KAMRAN TOLUIE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/15/2006
Last Update Date: 10/07/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9730 WILSHIRE BLVD SUITE 201
BEVERLY HILLS CA
90212-2022
US

IV. Provider business mailing address

PO BOX 17220
BEVERLY HILLS CA
90209-3220
US

V. Phone/Fax

Practice location:
  • Phone: 310-274-2743
  • Fax: 310-274-0876
Mailing address:
  • Phone: 310-274-2743
  • Fax: 310-274-0876

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License NumberA54366
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: