Khonsary, Seyed Ali

Khonsary, Seyed Ali is an individual health care provider with primary practice located at 2701 Firestone Blvd Suite W, South Gate CA 90280-2778. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nuclear Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Nuclear Medicine is his primary health care specialty. Khonsary, Seyed Ali can be contacted via phone (323) 249-6162.

Contact Information

Primary practice address
2701 Firestone Blvd Suite W South Gate CA 90280-2778
Phone: (323) 249-6162
Fax: (323) 563-0820
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nuclear Medicine 207U00000X A44590 California
Allopathic & Osteopathic Physicians / General Practice 208D00000X A44590 California

Profile Details

NPI number 1003024464
LBN Legal business name Khonsary, Seyed Ali
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2007
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003024464 NPPES
California Other A44590 PRIVATE INS. ID.

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