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Simon Kangavari, MD
Specialist in Inglewood, California
NPI 1710984208

Simon Kangavari is a Specialist based in Inglewood, CA. Simon Kangavari practices in Inglewood, CA and has the professional credentials of MD. The NPI Number for Simon Kangavari is 1710984208 and holds a License No. (California).

The current practice location address for Simon Kangavari is 501 E Hardy St, Inglewood, CA and can be reached out via phone at 310-672-3900 and via fax at 310-671-8438.

Location: 501 E Hardy St, Inglewood, CA, 90301-4054
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710984208
Provider Name
Simon Kangavari
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
501 E Hardy St, Inglewood, CA, 90301-4054
Phone Number
310-672-3900
Fax Number
310-671-8438
Provider Enumeration Date
06/30/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
95-4170981 01 CA APEX CARDIOLOGY PROV ID
W10766 01 CA MEDICARE PROVIDER ID
A69521 01 CA MEDICAL LICENSE
institution
Provider Business Practice Location Address Details
Address
501 E Hardy St
City
Inglewood
State
California
Zip
90301-4054
Phone Number
310-672-3900
Fax Number
310-671-8438
person
Provider Business Mailing Address Details
Address
501 E Hardy St
City
Inglewood
State
California
Zip
90301-4054
Phone Number
310-672-3900
Fax Number
310-671-8438
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
()
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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