Organization · NPI-2

Benjamin J. Kavoossi MD INC

Anesthesiology · Pomona, CA

NPI number1295058907
StatusActive
Last updated in NPPESMar 9, 2010

Details

NPI
1295058907
Entity type
Organization (NPI-2)
Legal business name
Benjamin J. Kavoossi MD INC
Organization subpart
No
Enumeration date
Mar 9, 2010
Last updated
Mar 9, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207L00000X AnesthesiologyA94166CAYes

Practice location

2720 N Garey Ave
Pomona, CA 91767-1810

Phone 909-593-6222

Mailing address

Po Box 148
Claremont, CA 91711-0148

Phone 909-985-2112 · Fax 909-985-3411

Authorized official

Benjamin J. Kavoossi
President
9099852112

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