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NPI Code Detail

MEDICARE: DR. SASSAN ALAVI M.D.

MEDICARE:  DR. SASSAN  ALAVI  M.D.
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
1207YX0007XPlastic Surgery within the Head & Neck (Otolaryngology) PhysicianG81761CA

General Provider Information

NPI Number : 1023170131
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SASSAN ALAVI M.D.
Provider Business Mailing Address
First Line : 3023 BUNKER HILL ST
Second Line : SUITE 204
City : SAN DIEGO
State : CA
Zip : 92109-5706
Country : US
Telephone Number : 858-483-0690
Fax Number :
Provider Business Practice Location Address
First Line : 3023 BUNKER HILL ST
Second Line : SUITE 204
City : SAN DIEGO
State : CA
Zip : 92109-5706
Country : US
Telephone Number : 858-483-0690
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/14/2006
Last Update Date : 12/05/2013

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Directions to “ DR. SASSAN ALAVI M.D.” Practice Location

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