Kamran Ghodsian in Aliso Viejo - Specialist

Kamran Ghodsian - NPI 1942204409

Kamran Ghodsian is a Specialist in Aliso Viejo, California. Kamran Ghodsian practices all healthcare services and medical treatments related to Specialist. The NPI Number for Kamran Ghodsian is 1942204409. The last update date is 2012-01-26.

Kamran Ghodsian's current location address is 24502 Pacific Park Dr, Aliso Viejo, California. You can contact this provider via phone number 9493621515 and fax number 9493627548. The mailing address for Kamran Ghodsian is 24502 Pacific Park Dr, Aliso Viejo, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Kamran Ghodsian
Address 24502 Pacific Park Dr, Aliso Viejo, California
Phone Number 9493621515
Fax Number 9493627548
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1942204409
Provider Enumeration Date 2005-06-10
Last Updated Date 2012-01-26

Provider Mailing Address Detail

Address 24502 Pacific Park Dr
City Aliso Viejo
State California (CA)
Post Code 9265630330
Phone Number 9493621515
Fax Number 9493627548

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No A41039
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
00A410390 CA --

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FAQs about Kamran Ghodsian

What is the Kamran Ghodsian's unique identification number?

The Kamran Ghodsian has been assigned the NPI (National Provider Identifier) Number 1942204409 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical location address where Kamran Ghodsian's facilities are situated?

The facilities of Kamran Ghodsian are physically located at the following address: 24502 Pacific Park Dr, Aliso Viejo, CA, 9265630330.

What is Kamran Ghodsian's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Kamran Ghodsian is Specialist, and the taxonomy code that categorizes this field of expertise is 174400000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1942204409 to Kamran Ghodsian?

The Centers for Medicare & Medicaid Services originally issued the 1942204409 to Kamran Ghodsian on 2005-06-10.

When was the information related to Kamran Ghodsian most recently updated or refreshed?

The details pertaining to the Kamran Ghodsian, including its address, specialty, and other relevant information, were last updated or refreshed on 2012-01-26.

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