Individual
NOSRAT JAVIDAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1000 NEWBURY RD, SUITE # 120, THOUSAND OAKS, CA 91320-3613
(805) 375-0202
(805) 375-2221
Mailing address
PO BOX 6874, THOUSAND OAKS, CA 91359-6874
(805) 375-0202
(805) 375-2221
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
A81695
CA
Other
Enumeration date
04/12/2006
Last updated
07/08/2007
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