Healthcare Provider Details

I. General information

NPI: 1629915525
Provider Name (Legal Business Name): AMIR LAVAF MD INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/30/2026
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1180 N INDIAN CANYON DR STE E218
PALM SPRINGS CA
92262-4885
US

IV. Provider business mailing address

75096 CITADEL PL
INDIAN WELLS CA
92210-8382
US

V. Phone/Fax

Practice location:
  • Phone: 760-416-4770
  • Fax: 760-416-4775
Mailing address:
  • Phone: 760-416-4770
  • Fax: 760-416-4775

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. AMIR LAVAF
Title or Position: OWNER
Credential: MD
Phone: 347-661-2485