| Doctor Name: | KAMYAR HEDAYAT |
| NPI Number: | 1255306395 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | A76934 |
| Business Practice Address: | 512 Via De La Valle Ste 101 Solana Beach, CA - 920752751 |
| Business Phone Number: | 8584559726 |
| Business Fax Number: | 8584559159 |
| Mailing Address: | 512 Via De La Valle, Ste 101 SOLANA BEACH |
| State: | CA |
| Postal Code: | 920752751 |
| Phone Number: | 8584559726 |
| Fax Number: | 8584559159 |
| NPI Enumeration Date: | 02/22/2006 |
| NPI Last Update Date: | 12/27/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | A76934 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |