Healthcare Provider Details

I. General information

NPI: 1467528075
Provider Name (Legal Business Name): KAMRAN TOLUIE, MD, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/27/2006
Last Update Date: 10/08/2015
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 Number
License Number State

VIII. Authorized Official

Name: DR. KAMRAN TOLUIE
Title or Position: PRESIDENT
Credential: MD
Phone: 310-274-2743