Individual
KHASHAYAR POURMAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NEURO-DIAGNOSTIC TEC
Contact information
Practice address
833 S LOS ROBLES AVE, PASADENA, CA 91106-3716
(310) 592-5067
Mailing address
833 S LOS ROBLES AVE, PASADENA, CA 91106-3716
(310) 592-5067
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
704
MA
Other
Enumeration date
09/01/2006
Last updated
11/08/2015
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