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Organization
ELITE MEDICAL SERVICES
Active
Organization
ELITE MEDICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NOSRAT KHAJAVI DO (OWNER)
(510) 556-1000
Entity
Organization
Contact information
Practice address
1860 MOWRY AVE, SUITE 402, FREMONT, CA 94538-1730
(510) 556-1000
(888) 876-1676
Mailing address
39120 ARGONAUT WAY, SUITE 706, FREMONT, CA 94538-1304
(510) 556-1000
(888) 876-1676
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
6223
CA
Other
Enumeration date
04/20/2015
Last updated
04/20/2015
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