Khosravi, Vista S

Khosravi, Vista S is an sole proprietor health care provider with primary practice located at 80 Great Oaks Blvd , San Jose CA 95119-1310. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Khosravi, Vista S can be contacted via phone (408) 363-3000.

Contact Information

Primary practice address
80 Great Oaks Blvd San Jose CA 95119-1310
Phone: (408) 363-3000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X G80120 California

Profile Details

NPI number 1407868789
LBN Legal business name Khosravi, Vista S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 13th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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