Organization
SEPEHR KHONSARI - A MEDICAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SEPEHR KHONSARI M.D, (PRESIDENT)
(949) 334-7374
Entity
Organization
Contact information
Practice address
2260 HOMET RD, SAN MARINO, CA 91108-1326
(949) 334-7374
Mailing address
2260 HOMET RD, SAN MARINO, CA 91108-1326
(949) 334-7374
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
A85324
CA
Other
Enumeration date
03/19/2012
Last updated
03/19/2012
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