Individual
JAVAD JAVADI KHOMAMI
Active
Individual
JAVAD JAVADI KHOMAMI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA 16695
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W14915
MEDICARE #W14915
CA
Enumeration date
09/22/2006
Last updated
01/15/2008
Update your record
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