Kabolizadeh, Peyman
Kabolizadeh, Peyman is an individual health care provider with primary practice located at 18111 Brookhurst St Ste Ll0300 , Fountain Valley CA 92708-6728. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Radiation Oncology. Allopathic & Osteopathic Physicians / Radiation Oncology is his primary health care specialty. Kabolizadeh, Peyman can be contacted via phone (714) 962-7100.Contact Information
Primary practice address
18111 Brookhurst St Ste Ll0300
Fountain Valley CA 92708-6728
Phone: (714) 962-7100
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | Virginia | |
| Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | A152224 | California |
Profile Details
| NPI number | 1093941171 |
|---|---|
| LBN Legal business name | Kabolizadeh, Peyman |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 3rd, 2009 |
| Last updated | Oct 15th, 2025 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093941171 | NPPES |
| Michigan | Other | 0F34985 | BCBSM |
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