Khonsari, Feraidoun Fred
Khonsari, Feraidoun Fred is an individual health care provider with primary practice located at 1140 W La Veta Ave Suite 605, Orange CA 92868-4225. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Khonsari, Feraidoun Fred can be contacted via phone (714) 547-7457.Contact Information
Primary practice address
1140 W La Veta Ave Suite 605
Orange CA 92868-4225
Phone: (714) 547-7457
Fax: (714) 547-6202
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | A31098 | California |
Profile Details
| NPI number | 1487612560 |
|---|---|
| LBN Legal business name | Khonsari, Feraidoun Fred |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 1st, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1487612560 | NPPES |
| California | MEDICAID | 00A310980 |
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