Seyed Ali Khonsary, MD is a medicare enrolled "Nuclear Medicine" physician in South Gate, California. His current practice location is
2701 Firestone Blvd, Suite W, South Gate, California. You can reach out to his office (for appointments etc.) via phone at
(323) 249-6162.
Seyed Ali Khonsary is licensed to practice in California (license number A44590) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1003024464.
Physician's Profile
| Full Name | Seyed Ali Khonsary |
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| Gender | Male |
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| Speciality | Nuclear Medicine |
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| Location | 2701 Firestone Blvd, South Gate, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1003024464
- Provider Enumeration Date: 05/18/2007
- Last Update Date: 09/11/2025
Medicare PECOS Information:
- PECOS PAC ID: 8921305566
- Enrollment ID: I20160328001118
Medical Identifiers
Medical identifiers for Seyed Ali Khonsary such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1003024464 | NPI | - | NPPES |
| A44590 | Other | CA | PRIVATE INS. ID. |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207U00000X | Nuclear Medicine | A44590 (California) | Primary |
| 208D00000X | General Practice | A44590 (California) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Seyed Ali Khonsary is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Seyed Ali Khonsary, MD Po Box 241963, Los Angeles, CA 90024-9763 Ph: (310) 204-1732 | Seyed Ali Khonsary, MD 2701 Firestone Blvd, Suite W, South Gate, CA 90280-2778 Ph: (323) 249-6162 |
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