=====================================================
General NPI Number Information
=====================================================
NPI Number | 1568751303
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | COMPREHENSIVE CENTER FOR VIRAL HEPATITIS LOS ANGELES PC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/01/2011
-----------------------------------------------------
Last Update Date | 04/01/2011
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 99 N LA CIENEGA BLVD STE 200
-----------------------------------------------------
City | BEVERLY HILLS
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 90211-2285
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 949-588-2190
-----------------------------------------------------
Fax | 949-588-2199
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 5 HOLLAND STE 101
-----------------------------------------------------
City | IRVINE
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 92618-2568
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 949-588-2190
-----------------------------------------------------
Fax | 949-588-2199
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | PARVEEN KUAR
-----------------------------------------------------
Credential | MD
-----------------------------------------------------
Telephone | 949-588-2190
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207RI0008X
-----------------------------------------------------
Taxonomy Name | Hepatology Physician
-----------------------------------------------------
License Number | A056110
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------