Individual
MR. JONAS KOUROSH FAGHIHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHYSICAL THERAPIST
Contact information
Practice address
17944 COLLINS STREET, ENCINO, CA 91316
(818) 324-3636
Mailing address
17944 COLLINS ST, ENCINO, CA 91316-1029
(818) 324-3636
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
8914
CA
Other
Enumeration date
02/03/2009
Last updated
02/03/2009
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