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ILA POURHASHEM NAENI D.O

>> Family Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1417101593

Individual Registrant:
 ILA POURHASHEM NAENI D.O
Gender: F
Not Sole Proprietor

Location and contact information for practice:
650 S ZEDIKER AVE  PARLIER, CA 93648-2666 US
Tel: 559-646-3561  Fax: 559-646-4963

Contact information for business:
2625 E DIVISADERO ST  FRESNO, CA 93721-1431 US
Tel: 559-443-2682  Fax: 559-443-2681

Registration Information:
NPI: 1417101593
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207Q00000XAllopathic & Osteopathic Physicians
Family Medicine
CA20A10626

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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