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General NPI Number Information
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NPI Number | 1104923572
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Entity Type | Individual
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Provider Name | KAVEH SOLEIMANPOUR M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 3949 LOS FELIZ BLVD. APT. 611
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City | LOS ANGELES
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State | CA
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Zip | 90027-2324
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Country | US
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Telephone | 323-661-6961
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Fax | 323-664-6506
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Provider Business Mailing Address
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Address Line | 3949 LOS FELIZ BLVD. APT. 611
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City | LOS ANGELES
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State | CA
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Zip | 90027-2324
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Country | US
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Telephone | 323-661-6961
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Fax | 323-664-6506
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085N0904X
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Taxonomy Name | Nuclear Radiology Physician
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License Number | A91640
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | A91640
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License Number State | CA
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