VISTA S KHOSRAVI

SAN JOSE, CA
NPI1407868789
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207N00000X Dermatology
(Licence: CA  g80120)
Enumeration Date2006-08-13
Last Update Date2007-07-08
Business Address
-- VISTA S KHOSRAVI M.D.
80 GREAT OAKS BLVD
SAN JOSE, CA 95119-1310
Phone number: 408-363-3000
Mailing Address
-- VISTA S KHOSRAVI M.D.
1606 MONTELLANO CT
SAN JOSE, CA 95120-4833
Phone number: 408-927-9938
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