MEDICARE: DR. AFSHIN AKHAVAN DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	20A7610	CA
2	207V00000X	Obstetrics & Gynecology Physician	20A7610	CA
3	208D00000X	General Practice Physician	20A7610	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1003952797
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AFSHIN AKHAVAN DO

Provider Business Mailing Address
First Line	:	530 E WASHINGTON BLVD
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90015-3723
Country	:	US
Telephone Number	:	213-747-2626
Fax Number	:	213-749-7500

Provider Business Practice Location Address
First Line	:	530 E WASHINGTON BLVD
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90015-3723
Country	:	US
Telephone Number	:	213-747-2626
Fax Number	:	213-749-7500

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/29/2007
Last Update Date	:	02/12/2026

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