Lara Khosrovian
NPI #1093556334 in Pomona, California
Provider Information
- NPI Number
- 1093556334
- Entity Type
- Individual
- Name
- Lara Khosrovian
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physician Assistant
- Enumeration Date
- Jun 3, 2024
- Last Updated
- Sep 22, 2025
Practice Location
- Address
- 309 E 2ND ST
- City
- Pomona
- State
- California
- ZIP Code
- 91766-1854
- Phone
- (909) 623-6116
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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