Individual provider · Type 1 NPI

Lara Khosrovian

Physician Assistant · Pomona, CA

NPI number 1093556334 Active

Practice location

309 E 2nd St
Pomona, CA 91766-1854

Call (909) 623-6116 Map

Mailing address

11539 Dellmont Dr
Tujunga, CA 91042-1112

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X65289 (CA)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1093556334

Lara Khosrovian's National Provider Identifier is 1093556334, issued on Jun 3, 2024. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Pomona, CA. The record was last updated on Sep 22, 2025.