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1043898786
KHODAYAR GOSHTASBI
ORANGE, CA
NPI
1043898786
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2021-04-01
Last Update Date
2021-04-01
Business Address
KHODAYAR GOSHTASBI MD
101 THE CITY DR S
ORANGE, CA 92868-3201
Phone number: 714-456-5753
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Mailing Address
KHODAYAR GOSHTASBI MD
22481 SUNBROOK
MISSION VIEJO, CA 92692-4526
Phone number: 949-326-8182
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