Most Relevant Information
Provider Data
| NPI Number: | 1003024464 |
| Provider Name: | SEYED ALI KHONSARY M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 207U00000X |
| Specialty: | Nuclear Medicine |
| License Number: | A44590 |
Most Important Dates
| Enumeration Date: | 05/18/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
2701 FIRESTONE BLVD
SUITE W
SOUTH GATE
CA
902802778
Practice Location Phone/Fax
| Phone: | 3232496162 |
| Fax: | 3235630820 |
Provider Mailing Location
PO BOX 241963
LOS ANGELES
CA
900249763
Provider Mailing Phone/Fax
| Phone: | 3102041732 |
| Fax: | 3102042607 |