Provider Demographics
NPI:1568287548
Name:KAMRAVA CRS INC.
Entity type:Organization
Organization Name:KAMRAVA CRS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ALLEN
Authorized Official - Middle Name:
Authorized Official - Last Name:KAMRAVA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:424-279-8222
Mailing Address - Street 1:435 N BEDFORD DR STE 308
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90210-4380
Mailing Address - Country:US
Mailing Address - Phone:424-279-8222
Mailing Address - Fax:424-279-8226
Practice Address - Street 1:435 N BEDFORD DR STE 308
Practice Address - Street 2:
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90210-4380
Practice Address - Country:US
Practice Address - Phone:424-279-8222
Practice Address - Fax:424-279-8226
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-15
Last Update Date:2024-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty