Fred Khonsari Medical Corporation

LBN: Fred Khonsari Medical Corporation
Fred Khonsari Medical Corporation is an health care organization with primary practice located at 1140 W La Veta Ave Suite # 605, Orange CA 92868-4223. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as the primary health care specialty. Fred Khonsari Medical Corporation can be contacted via phone (714) 547-7457, or through Khonsari, Feraidoun via phone (714) 547-7457.

Contact Information

Primary practice address
1140 W La Veta Ave Suite # 605 Orange CA 92868-4223
Phone: (714) 547-7457
Fax: (714) 547-6202
Website:
Map and Directions
Authorized official contact:
Name: Khonsari, Feraidoun Doctor of Medicine (MD)
Phone: (714) 547-7457

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X

Profile Details

NPI number 1275734410
LBN Legal business name Fred Khonsari Medical Corporation
DBA Doing business as
Authorized official Khonsari, Feraidoun Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 29th, 2007
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275734410 NPPES
California MEDICAID 00A310980

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