| Doctor Name: | AFSHIN S VEISEH |
| NPI Number: | 1205807146 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | G74878 |
| Business Practice Address: | 100 Ucla Medical Plaza #720 Los Angeles, CA - 900247001 |
| Business Phone Number: | 3107947940 |
| Business Fax Number: | 3102091577 |
| Mailing Address: | 100 Ucla Medical Plaza, #720 LOS ANGELES |
| State: | CA |
| Postal Code: | 900247001 |
| Phone Number: | 3107947940 |
| Fax Number: | 3102091577 |
| NPI Enumeration Date: | 01/30/2006 |
| NPI Last Update Date: | 09/06/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | 03/25/2006 |
| NPI Reactivation Date: | 04/05/2006 |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | G74878 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |