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Organization
SEAN KOSSARI, M.D. A. PROF . CORP
Active
Organization
SEAN KOSSARI, M.D. A. PROF . CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAHRAM KOSSARI M.D. (OWNER)
(818) 365-1616
Entity
Organization
Contact information
Practice address
14901 RINALDI STREET, SUITE 320, MISSION HILLS, CA 91345-1204
(818) 365-1616
(818) 365-1811
Mailing address
14901 RINALDI ST, SUITE 320, MISSION HILLS, CA 91345-1204
(818) 365-1616
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
A68579
CA
207V00000X
Obstetrics & Gynecology Physician
A685790
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A685790
—
CA
Enumeration date
03/17/2009
Last updated
12/20/2017
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