Doctor Name: | DR. KAY HOOSHMAND |
NPI Number: | 1568624997 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DO |
License Number: | 20A11270 |
Business Practice Address: | 9405 Fairway View Pl Rancho Cucamonga, CA - 917300932 |
Business Phone Number: | 9094817345 |
Business Fax Number: | |
Mailing Address: | Po Box 2496, MANHATTAN BEACH |
State: | CA |
Postal Code: | 902672496 |
Phone Number: | 3103101566 |
Fax Number: | |
NPI Enumeration Date: | 06/26/2008 |
NPI Last Update Date: | 03/13/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 20A11270 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |