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1215180765
HOMAN MAHALLATI
POMONA, CA
NPI
1215180765
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA 20A9964)
Enumeration Date
2008-10-28
Last Update Date
2012-04-09
Business Address
HOMAN MAHALLATI D.O.
2776 N GAREY AVE
POMONA, CA 91767-1810
Phone number: 909-593-7437
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Mailing Address
HOMAN MAHALLATI D.O.
437 KIRKWOOD LN
MONROVIA, CA 91016-2343
Phone number: 818-687-2525
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