Healthcare Provider Details

I. General information

NPI: 1629997812
Provider Name (Legal Business Name): KAMYAR ASSIL MD INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2026
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

32144 AGOURA RD STE 204
WESTLAKE VILLAGE CA
91361-4050
US

IV. Provider business mailing address

32144 AGOURA RD STE 204
WESTLAKE VILLAGE CA
91361-4050
US

V. Phone/Fax

Practice location:
  • Phone: 805-241-0151
  • Fax: 805-241-0161
Mailing address:
  • Phone: 805-241-0151
  • Fax: 805-241-0161

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. KAMYAR ASSIL
Title or Position: FOUNDER
Credential: MD
Phone: 805-405-2054