MEDICARE: DR. KEYVAN ZAVAREI 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
1	2081P2900X	Pain Medicine (Physical Medicine & Rehabilitation) Physician	A88805	CA

General Provider Information

NPI Number	:	1336186725
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KEYVAN ZAVAREI M.D.

Provider Business Mailing Address
First Line	:	2888 LONG BEACH BLVD
Second Line	:	SUITE 210
City	:	LONG BEACH
State	:	CA
Zip	:	90806-1530
Country	:	US
Telephone Number	:	949-588-7246
Fax Number	:	949-272-3746

Provider Business Practice Location Address
First Line	:	2888 LONG BEACH BLVD
Second Line	:	SUITE 210
City	:	LONG BEACH
State	:	CA
Zip	:	90806-1530
Country	:	US
Telephone Number	:	949-588-7246
Fax Number	:	949-272-3746

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

Provider Enumeration Date	:	06/02/2006
Last Update Date	:	02/24/2020

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