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Organization
FARI G KAMALPOUR DO INC
Active
Organization
FARI G KAMALPOUR DO INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FARI G KAMALPOUR DO (OWNER)
(818) 730-1183
Entity
Organization
Contact information
Practice address
1049 AVENIDA LADERA, SAN DIMAS, CA 91773-4308
(818) 730-1183
Mailing address
1049 AVENIDA LADERA, SAN DIMAS, CA 91773-4308
(818) 730-1183
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
20A11842
CA
Other
Enumeration date
07/08/2014
Last updated
07/08/2014
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