FRED KHONSARI MEDICAL CORPORATION is an urology in Orange, CA. The provider is 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. FRED KHONSARI MEDICAL CORPORATION NPI is 1275734410. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
1140 W LA VETA AVE
SUITE # 605
ORANGE, CA
ZIP 92868-223
Phone: (714) 547-7457
Fax: (714) 547-6202
The provider's authorized official is Feraidoun Khonsari .
The authorized official title is Corporation President and has the following contact phone number (714) 547-7457.
The CLIA number assigned to this NPI record is 05D0578970 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).
The enumeration date for this NPI number is 5/29/2007 and was last updated on 8/22/2020.