Healthcare Provider Details

I. General information

NPI: 1922883305
Provider Name (Legal Business Name): KEVIN AKBARI
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/25/2023
Last Update Date: 10/02/2025
Certification Date: 10/02/2025
Deactivation Date: 04/02/2024
Reactivation Date: 10/01/2025

III. Provider practice location address

PO BOX 16964
IRVINE CA
92623-6964
US

IV. Provider business mailing address

2160 BARRANCA PKWY # 1420
IRVINE CA
92606-4940
US

V. Phone/Fax

Practice location:
  • Phone: 949-516-0001
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225400000X
TaxonomyRehabilitation Practitioner
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: