KIANOUSH KENNETH SOOFI

RIVERSIDE, CA
NPI1063114759
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2023-03-20
Last Update Date2023-03-20
Business Address
KIANOUSH KENNETH SOOFI DO
4445 MAGNOLIA AVE
RIVERSIDE, CA 92501-4135
Phone number: 951-788-3000
Mailing Address
KIANOUSH KENNETH SOOFI DO
43 VIA BANDADA
RANCHO SANTA MARGARITA, CA 92688-3434
Phone number:
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