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1790727162
KEIVAN EDALAT
GARDENA, CA
NPI
1790727162
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: CA A67803)
Enumeration Date
2006-06-12
Last Update Date
2008-05-22
Business Address
-- KEIVAN EDALAT MD
1145 WEST REDONDO BEACH BLVD
GARDENA, CA 90247
Phone number: 310-538-6629
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Mailing Address
-- KEIVAN EDALAT MD
PO BOX 11260
WESTMINSTER, CA 92685-1260
Phone number: 562-809-3542
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