Healthcare Provider Details

I. General information

NPI: 1609067040
Provider Name (Legal Business Name): KAMYAR AMINI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/08/2007
Last Update Date: 07/12/2025
Certification Date: 07/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14600 SHERMAN WAY STE 250
VAN NUYS CA
91405-2284
US

IV. Provider business mailing address

14600 SHERMAN WAY STE 250
VAN NUYS CA
91405-2284
US

V. Phone/Fax

Practice location:
  • Phone: 818-998-6600
  • Fax: 818-495-4031
Mailing address:
  • Phone: 818-998-6600
  • Fax: 818-495-4031

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License NumberA99444
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: