Individual
MR. JOSHUA REZA KHOSHSEFAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
555 CAPITOL MALL STE 570, SACRAMENTO, CA 95814-4502
(916) 441-0400
Mailing address
555 CAPITOL MALL STE 570, SACRAMENTO, CA 95814-4502
(916) 441-0400
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95004753
CA
Other
Enumeration date
08/21/2016
Last updated
01/03/2022
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