MEDICARE: CENTER FOR ADVANCED VASCULAR INTERVENTIONS

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	207RC0000X	Cardiovascular Disease Physician

General Provider Information

NPI Number	:	1164933636
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CENTER FOR ADVANCED VASCULAR INTERVENTIONS

Provider Business Mailing Address
First Line	:	8635 W 3RD ST STE 695W
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90048-6162
Country	:	US
Telephone Number	:	818-905-5904
Fax Number	:	310-967-2140

Provider Business Practice Location Address
First Line	:	18226 VENTURA BLVD STE 102
Second Line	:
City	:	TARZANA
State	:	CA
Zip	:	91356-4246
Country	:	US
Telephone Number	:
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MEHRAN J KHORSANDI
Credential	:	MD
Telephone Number	:	818-905-5904

Provider Enumeration Date	:	10/23/2017
Last Update Date	:	10/23/2017

Similar Medicare Providers

1780546614 — KAYLY ANN MARTINEZ
Practice Location Address:

18226 VENTURA BLVD STE 202
TARZANA, CA
91356-4246

Practice Phone: 818-975-8097
Practice Fax:

1417995622 — ZAHI NASSOURA MD
Practice Location Address:

18226 VENTURA BOULEVARD , SUITE 102
TARZANA, CA
91356-4246

Practice Phone: 818-345-6126
Practice Fax: 818-345-5061

1174639074 — FUAD F RAFIDI MD
Practice Location Address:

18226 VENTURA BOULEVARD , SUITE 102
TARZANA, CA
91356-4246

Practice Phone: 818-345-6126
Practice Fax: 818-345-5061

1629316674 — MRS. SHELLEY HALPERN C.HT.
Practice Location Address:

18226 VENTURA BLVD STE 210
TARZANA, CA
91356-4246

Practice Phone: 818-205-7271
Practice Fax:

1780067439 — MARK BERMAN M.A.
Practice Location Address:

18226 VENTURA BLVD STE 202
TARZANA, CA
91356-4246

Practice Phone: 818-975-8097
Practice Fax:

1487150744 — AMELIA JEAN KOLENC
Practice Location Address:

18226 VENTURA BLVD STE 102
TARZANA, CA
91356-4246

Practice Phone: 818-905-5904
Practice Fax:

Directions to “CENTER FOR ADVANCED VASCULAR INTERVENTIONS ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.