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General NPI Number Information
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NPI Number | 1053975847
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Entity Type | Organization
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Legal Business Name | CALIFORNIA VASCULAR & INTERVENTIONAL PC.
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Dates
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Enumeration Date | 04/26/2019
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Last Update Date | 11/16/2021
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Provider Practice Location Address
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Address Line | 145 N ROBERTSON BLVD
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City | BEVERLY HILLS
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State | CA
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Zip | 90211-2103
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Country | US
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Telephone | 310-409-4114
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Fax | 213-800-0806
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Provider Business Mailing Address
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Address Line | 8549 WILSHIRE BLVD # 14157
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City | BEVERLY HILLS
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State | CA
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Zip | 90211-3104
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Country | US
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Telephone | 323-546-7993
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Fax | 213-800-0806
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Authorized Official
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Title or Position | OWNER
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Name | ATABAK ALLAEI
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Credential | MD
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Telephone | 310-409-4114
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number |
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License Number State |
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