Healthcare Provider Details

I. General information

NPI: 1770111551
Provider Name (Legal Business Name): ARMITA KABIRPOUR
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/29/2020
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 PARNASSUS AVE
SAN FRANCISCO CA
94143-2202
US

IV. Provider business mailing address

1468 MADISON AVE ANNENBERG BUILDING ROOM 1246
NEW YORK CITY NY
10029
US

V. Phone/Fax

Practice location:
  • Phone: 415-353-1606
  • Fax:
Mailing address:
  • Phone: 212-241-6694
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208G00000X
TaxonomyThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
License NumberA210972
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberA210972
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: