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Individual

SEYED ALI KHONSARY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2701 FIRESTONE BLVD, SUITE W, SOUTH GATE, CA 90280-2778
(323) 249-6162
(323) 563-0820
Mailing address
PO BOX 241963, LOS ANGELES, CA 90024-9763
(310) 204-1732
(310) 204-2607

Taxonomy

Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
Primary
A44590
CA
208D00000X
General Practice Physician
A44590
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
A44590
PRIVATE INS. ID.
CA
Enumeration date
05/18/2007
Last updated
09/11/2025
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