SearchCalifornia183500000X

Kaywan Mansubi

NPI 1538423868 · on the registry since 2012 · sole proprietor

Practice

Address
14005 Wildwood Way
Saratoga, CA 95070
Phone
(408) 621-0869

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2012-07-02

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California