Individual provider · Type 1 NPI

Simon Kangavari, MD

Specialist · Inglewood, CA

NPI number 1710984208 Active

Practice location

501 E Hardy St, Suite 200
Inglewood, CA 90301-4054

Fax (310) 671-8438

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: 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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About NPI 1710984208

Simon Kangavari, MD's National Provider Identifier is 1710984208, issued on Jun 30, 2005. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Inglewood, CA. The record was last updated on Dec 8, 2021.