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NPI Code Detail

MEDICARE: DR. KATAYOUN KHORSANDI

MEDICARE:  DR. KATAYOUN  KHORSANDI
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist58816CA

General Provider Information

NPI Number : 1235551151
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KATAYOUN KHORSANDI
Provider Business Mailing Address
First Line : 13652 WINSTANLEY WAY
Second Line :
City : SAN DIEGO
State : CA
Zip : 92130-1411
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 13652 WINSTANLEY WAY
Second Line :
City : SAN DIEGO
State : CA
Zip : 92130-1411
Country : US
Telephone Number : 619-850-9506
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/11/2014
Last Update Date : 01/11/2014

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Directions to “ DR. KATAYOUN KHORSANDI ” Practice Location

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