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NPI Code Detail

MEDICARE: DR. KIAVASH NEMATI M.D.

MEDICARE: DR. KIAVASH NEMATI 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
1207L00000XAnesthesiology PhysicianA134634CA

General Provider Information

NPI Number : 1871980136
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KIAVASH NEMATI M.D.
Provider Business Mailing Address
First Line : 4058 MARS WAY
Second Line :
City : LA MESA
State : CA
Zip : 91941-7248
Country : US
Telephone Number : 626-379-3789
Fax Number :
Provider Business Practice Location Address
First Line : 39000 BOB HOPE DR
Second Line :
City : RANCHO MIRAGE
State : CA
Zip : 92270-3221
Country : US
Telephone Number : 760-340-3911
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/23/2015
Last Update Date : 02/09/2026

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