Individual
MR. MASOOM M KANDAHARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD FACP
Contact information
Practice address
27450 YNEZ RD STE 116, TEMECULA, CA 92591-4649
(951) 234-7006
(951) 225-9938
Mailing address
31860 PASEO NAVARRA, SAN JUAN CAPISTRANO, CA 92675-3651
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
0101040044
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
067857
ANTHEM (WOODBRIDGE)
—
01
—
143524
ANTHEM (ARLINGTON)
—
01
—
21384
MAMSI OPT CHOICE ALLIANCE
—
01
—
3600124
UNITED HEALTHCARE
—
01
—
3722047001
CIGNA
—
01
—
481116
AETNA
—
05
—
6098673
—
VA
01
—
61950001
BC/BS NCA
—
01
—
P00017437
RAILROAD MEDICARE
—
Enumeration date
09/27/2005
Last updated
01/07/2026
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