Organization
MATIN KHOSHNEVIS MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATIN KHOSHNEVIS (MD/OWNER)
(916) 863-3143
Entity
Organization
Contact information
Practice address
5773 GREENBACK LANE, SACRAMENTO, CA 95841
(916) 863-3143
(916) 863-3148
Mailing address
5773 GREENBACK LANE, SACRAMENTO, CA 95841
(916) 863-3143
(916) 863-3148
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
05/22/2006
Last updated
03/08/2022
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