Khairolomour, Pegah
Khairolomour, Pegah is an individual health care provider with primary practice located at 3288 Bell Road , Auburn CA 95603. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Khairolomour, Pegah can be contacted via phone (530) 886-2300.Contact Information
Primary practice address
3288 Bell Road
Auburn CA 95603
Phone: (530) 886-2300
Fax: (530) 886-2301
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | A69773 | California |
Profile Details
NPI number | 1689769176 |
---|---|
LBN Legal business name | Khairolomour, Pegah |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 3rd, 2006 |
Last updated | Jun 1st, 2015 - about 9 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 | 1689769176 | NPPES |
California | MEDICAID | 00A697730 |
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