Individual
SEAN WILLIAM KALOOSTIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6276 RIVER CREST DR, STE A, RIVERSIDE, CA 92507-0783
(951) 413-0972
Mailing address
6276 RIVER CREST DR, STE A, RIVERSIDE, CA 92507-0783
(951) 413-0972
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
A118917
CA
Other
Enumeration date
04/12/2010
Last updated
09/05/2022
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