Boghairi, Anoushiravan
Boghairi, Anoushiravan is an individual health care provider with primary practice located at 5565 Grossmont Center Drive Bldg 1 Ste 115, La Mesa CA 91942. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Boghairi, Anoushiravan can be contacted via phone (619) 698-6667.Contact Information
Primary practice address
5565 Grossmont Center Drive Bldg 1 Ste 115
La Mesa CA 91942
Phone: (619) 698-6667
Fax: (619) 698-6684
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | A33832 | California |
Profile Details
| NPI number | 1255549184 |
|---|---|
| LBN Legal business name | Boghairi, Anoushiravan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 21st, 2007 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255549184 | NPPES |
| California | MEDICAID | 00A338320 |
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