# AYAZ O KHAN INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558720516
- **Authorized official:** AYAZ O KHAN DO (CEO)
- **Authorized official phone:** (626) 376-8463

## Contact information

- **Practice address:** 648 N PARK AVE, POMONA, CA 91768-3621
- **Practice address phone:** (909) 927-8487
- **Practice address fax:** (844) 431-4730
- **Mailing address:** 2035 CALLE FRANCESCA, SAN DIMAS, CA 91773-4457

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 20A9417 | CA | Yes |

## Other

- **Enumeration date:** 02/18/2016
- **Last updated:** 05/18/2022
