Individual
KAVOOS CAMERON NAZERI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9170 HAVEN AVE STE 120, RANCHO CUCAMONGA, CA 91730-5416
(909) 466-0550
(909) 466-0755
Mailing address
840 TOWNE CENTER DR, POMONA, CA 91767-5900
(909) 398-1550
(909) 398-1488
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A110017
CA
207RR0500X
Rheumatology Physician
Primary
A110017
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CA164176
MEDICARE PIN
CA
Enumeration date
02/09/2008
Last updated
02/21/2022
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