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NPI 1144480252

NPI 1144480252 : KAMYAR AMINI MD A MEDICAL CORPORATION : VAN NUYS, CA

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General NPI Number Information
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    NPI Number           |    1144480252
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    Entity Type          |    Organization 
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    Legal Business Name  |    KAMYAR AMINI MD A MEDICAL CORPORATION 
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Dates
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    Enumeration Date     |    06/12/2008
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    Last Update Date     |    07/12/2025
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Provider Practice Location Address
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    Address Line         |    14600 SHERMAN WAY STE 250 
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    City                 |    VAN NUYS
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    State                |    CA
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    Zip                  |    91405-2284
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    Country              |    US
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    Telephone            |    818-998-6600
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    Fax                  |    818-495-4031
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Provider Business Mailing Address
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    Address Line         |    14600 SHERMAN WAY STE 250 
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    City                 |    VAN NUYS
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    State                |    CA
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    Zip                  |    91405-2284
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    Country              |    US
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    Telephone            |    818-998-6600
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    Fax                  |    818-495-4031
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Authorized Official
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    Title or Position    |    PRACTICE MANAGER
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    Name                 |     SALOUMEH  YARAGHCHI 
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    Credential           |    
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    Telephone            |    310-709-6604
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QM2500X
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    Taxonomy Name        |    Medical Specialty Clinic/Center
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    License Number       |    A99444
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    License Number State |    CA
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