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Contact Information

ANOUSHIRAVAN BOGHAIRI MD
5565 GROSSMONT CENTER DRIVE
BLDG 1 STE 115
LA MESA, CA91942
 Phone: 619-698-6667
 Fax: 619-698-6684
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for ANOUSHIRAVAN BOGHAIRI MD · (Female)

NPI Number 1972704054
Status Active
Credentials
Entity Individual
Enumeration date 05/29/2007
Last updated 08/22/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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