05D0578970 CLIA NUMBER - FRED KHONSARI MD

Laboratory Demographics

CLIA Number: 05D0578970

Facility Name: FRED KHONSARI MD

Facility Address:
1140 W LA VETA AVENUE #605
ORANGE, CA
ZIP 92868
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Facility Phone Number: (714) 547-7457

Facility Type: PHYSICIAN OFFICE

Certificate Type: Microscopy

NPI Number: 1275734410

Taxonomy: 208800000X - Urology
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

CLIA Record

Field Name	Field Value
CLIA Number	05D0578970
LAB Type	PHYSICIAN OFFICE
Facility Name	FRED KHONSARI MD
Street	1140 W LA VETA AVENUE #605
City	ORANGE
State	CA
ZIP	92868
Phone	(714) 547-7457

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This page was last updated on: 5/11/2023