Individual
KHOSRO SADEGHANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11333 SEPULVEDA BLVD, MISSION HILLS, CA 91345-1116
(818) 837-5778
(818) 837-5774
Mailing address
PO BOX 9602, MISSION HILLS, CA 91346-9602
(818) 837-5637
(818) 837-5589
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
A49841
CA
207N00000X
Dermatology Physician
Primary
A49841
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A498410
—
CA
Enumeration date
07/10/2006
Last updated
03/26/2013
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