LARA KHOSROVIAN

POMONA, CA
NPI1093556334
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  65289)
Enumeration Date2024-06-03
Last Update Date2025-09-22
Business Address
LARA KHOSROVIAN
309 E 2ND ST
POMONA, CA 91766-1854
Phone number: 909-623-6116
Mailing Address
LARA KHOSROVIAN
11539 DELLMONT DR
TUJUNGA, CA 91042-1112
Phone number: 818-472-7215
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