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Pouyan Pouresfandiari, DO
Student in an Organized Health Care Education/Training Program in West Covina, California
NPI 1487348652

Pouyan Pouresfandiari is a Student in an Organized Health Care Education/Training Program based in West Covina, CA. Pouyan Pouresfandiari practices in West Covina, CA and has the professional credentials of DO. The NPI Number for Pouyan Pouresfandiari is 1487348652 and holds a License No. (California).

The current practice location address for Pouyan Pouresfandiari is 1115 S Sunset Ave, West Covina, CA and can be reached out via phone at 626-813-7837.

Location: 1115 S Sunset Ave, West Covina, CA, 91790-3940
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1487348652
Provider Name
Pouyan Pouresfandiari
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
1115 S Sunset Ave, West Covina, CA, 91790-3940
Phone Number
626-813-7837
Fax Number
Provider Enumeration Date
06/08/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1115 S Sunset Ave
City
West Covina
State
California
Zip
91790-3940
Phone Number
626-813-7837
Fax Number
person
Provider Business Mailing Address Details
Address
1115 S Sunset Ave
City
West Covina
State
California
Zip
91790-3940
Phone Number
626-813-7837
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
(California)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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