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NPI Code Detail

MEDICARE: DR. AFSHIN SEAN JAVAHERIAN D.P.M

MEDICARE:  DR. AFSHIN SEAN JAVAHERIAN  D.P.M
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
1213ES0103XFoot & Ankle Surgery PodiatristE4676CA

General Provider Information

NPI Number : 1396765673
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. AFSHIN SEAN JAVAHERIAN D.P.M
Provider Business Mailing Address
First Line : 8737 BEVERLY BLVD STE 103
Second Line :
City : WEST HOLLYWOOD
State : CA
Zip : 90048-1835
Country : US
Telephone Number : 310-657-3700
Fax Number : 310-657-3701
Provider Business Practice Location Address
First Line : 8737 BEVERLY BLVD STE 103
Second Line :
City : WEST HOLLYWOOD
State : CA
Zip : 90048-1835
Country : US
Telephone Number : 310-657-3700
Fax Number : 310-657-3701
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/20/2006
Last Update Date : 05/11/2018

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Directions to “ DR. AFSHIN SEAN JAVAHERIAN D.P.M” Practice Location

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