| NPI | 1124547559 |
|---|---|
| Former Legal Business Name | KAYVAN D. HADDADAN, INC. |
| Entity Type | Organization |
| Authorized Contact | KAYVAN HADDADAN President & Chairman 415-786-6192 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP3300X Clinic/Center, Pain |
| Enumeration Date | 2017-09-18 |
| Last Update Date | 2020-06-22 |