Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | A95916 | CA |
NPI | 1013195841 |
---|---|
Provider Name | Dr. Farzad J. Khoubian |
First Address | West Covina, CA 91790-8204 |
Second Address | West Covina, CA 91790-8204 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/02/2008 |
Last Update Date | 07/12/2013 |