Fred Khonsari Medical Corporation in Orange - Urology

Fred Khonsari Medical Corporation - NPI 1275734410

Fred Khonsari Medical Corporation is a Urology in Orange, California. Fred Khonsari Medical Corporation practices all healthcare services and medical treatments related to Urology. The NPI Number for Fred Khonsari Medical Corporation is 1275734410. The last update date is 2020-08-22.

Fred Khonsari Medical Corporation's current location address is 1140 W La Veta Ave, Orange, California. You can contact this provider via phone number 7145477457 and fax number 7145476202. The mailing address for Fred Khonsari Medical Corporation is 1140 W La Veta Ave, Orange, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization Fred Khonsari Medical Corporation
Address 1140 W La Veta Ave, Orange, California
Phone Number 7145477457
Fax Number 7145476202
Sole Proprietor --
Credentials --

Authorized Official

Title or Position CORPORATIO
Authorized Official Name Khonsari Feraidoun
Credentials M.D.
Telephone Number 7145477457

NPI Number Detail

NPI Number 1275734410
Provider Enumeration Date 2007-05-29
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 1140 W La Veta Ave
City Orange
State California (CA)
Post Code 928684223
Phone Number 7145477457
Fax Number 7145476202

Provider's Primary Taxonomy Detail

Speciality Urology
Taxonomy 208800000X
Definition:
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquir

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
00A310980 CA --

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FAQs about Fred Khonsari Medical Corporation

What is the unique identifier code issued to Fred Khonsari Medical Corporation by the Centers for Medicare & Medicaid Services?

The Fred Khonsari Medical Corporation has been assigned the NPI (National Provider Identifier) 1275734410. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the Fred Khonsari Medical Corporation's physical address?

The Fred Khonsari Medical Corporation is physically located at 1140 W La Veta Ave, in the city of Orange, CA, with the postal code 928684223.

What is Fred Khonsari Medical Corporation's specialized field of practice, and what is the corresponding taxonomy classification code?

The Fred Khonsari Medical Corporation's area of specialization is Urology, and the corresponding taxonomy code that categorizes this field of practice is 208800000X.

On what date was the 1275734410 assigned to Fred Khonsari Medical Corporation?

The Fred Khonsari Medical Corporation was issued its 1275734410 on 2007-05-29, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Fred Khonsari Medical Corporation most recently updated or revised?

The information pertaining to Fred Khonsari Medical Corporation, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.

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