Provider Demographics
NPI:1124028345
Name:GUIV, NILOUFAR (MD)
Entity Type:Individual
Prefix:
First Name:NILOUFAR
Middle Name:
Last Name:GUIV
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7301 MEDICAL CENTER DR
Mailing Address - Street 2:SUITE 201
Mailing Address - City:WEST HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91307-1904
Mailing Address - Country:US
Mailing Address - Phone:818-346-9911
Mailing Address - Fax:818-346-2857
Practice Address - Street 1:7301 MEDICAL CENTER DR
Practice Address - Street 2:SUITE 201
Practice Address - City:WEST HILLS
Practice Address - State:CA
Practice Address - Zip Code:91307-1904
Practice Address - Country:US
Practice Address - Phone:818-346-9911
Practice Address - Fax:818-346-2857
Is Sole Proprietor?:No
Enumeration Date:2005-07-29
Last Update Date:2021-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG73949174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA953178273OtherEIN#
CAWG73949BMedicare ID - Type Unspecified
CA953178273OtherEIN#