Healthcare Provider Details

I. General information

NPI: 1659412757
Provider Name (Legal Business Name): AFSHIN ELI GABAYAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/09/2007
Last Update Date: 09/19/2025
Certification Date: 09/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8900 WILSHIRE BLVD
BEVERLY HILLS CA
90211-1958
US

IV. Provider business mailing address

8900 WILSHIRE BLVD STE 200
BEVERLY HILLS CA
90211-1967
US

V. Phone/Fax

Practice location:
  • Phone: 310-432-8900
  • Fax: 310-432-8901
Mailing address:
  • Phone: 310-432-8900
  • Fax: 310-432-8901

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License NumberA055613
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: