Individual provider · NPI-1

Dr. Sepehr Khonsari, M.D.

Physical Medicine & Rehabilitation · Pomona, CA

NPI number1730190281
StatusActive
Last updated in NPPESNov 4, 2009

Details

NPI
1730190281
Entity type
Individual (NPI-1)
Name
Dr. Sepehr Khonsari
Credential
M.D.
Sex
Male
Sole proprietor
Yes
Enumeration date
Aug 10, 2006
Last updated
Nov 4, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208100000X Physical Medicine & RehabilitationA85324CAYes

Practice location

255 E Bonita Ave
Pomona, CA 91767-1923

Phone 909-596-7733 · Fax 909-596-7845

Mailing address

255 E Bonita Ave
Pomona, CA 91767-1923

Phone 909-596-7733 · Fax 909-596-7845

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