Kevorkian, Victor Avedis
Kevorkian, Victor Avedis is an sole proprietor health care provider with primary practice located at 14111 Van Ness Ave #4, Gardena CA 90249-2944. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Kevorkian, Victor Avedis can be contacted via phone (310) 516-9152.Contact Information
Primary practice address
14111 Van Ness Ave #4
Gardena CA 90249-2944
Phone: (310) 516-9152
Fax: (310) 329-2121
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | A34034 | California |
Profile Details
| NPI number | 1952496663 |
|---|---|
| LBN Legal business name | Kevorkian, Victor Avedis |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 4th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
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 | 1952496663 | NPPES |
| California | MEDICAID | 00A340340 | |
| California | Other | 95-3677784 |
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