Healthcare Provider Details

I. General information

NPI: 1205807146
Provider Name (Legal Business Name): AFSHIN S VEISEH MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/30/2006
Last Update Date: 03/27/2026
Certification Date: 03/27/2026
Deactivation Date: 03/25/2006
Reactivation Date: 04/05/2006

III. Provider practice location address

8900 WILSHIRE BLVD STE 360
BEVERLY HILLS CA
90211-2019
US

IV. Provider business mailing address

8900 WILSHIRE BLVD STE 360
BEVERLY HILLS CA
90211-2019
US

V. Phone/Fax

Practice location:
  • Phone: 310-209-2098
  • Fax: 310-209-1577
Mailing address:
  • Phone: 310-209-2098
  • Fax: 310-209-1577

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License NumberG74878
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: