Individual
AMIR MANSOURIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1278 N MONTECITO DR, CONCORD, CA 94521-5510
(925) 753-1986
Mailing address
PO BOX 31592, WALNUT CREEK, CA 94598-8592
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
C388522
CA
Other
Enumeration date
10/04/2006
Last updated
07/16/2015
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