Ghodsian, Kamran
Ghodsian, Kamran is an individual health care provider with primary practice located at 24502 Pacific Park Dr Suite 105, Aliso Viejo CA 92656-3033. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Ghodsian, Kamran can be contacted via phone (949) 362-1515.Contact Information
Primary practice address
24502 Pacific Park Dr Suite 105
Aliso Viejo CA 92656-3033
Phone: (949) 362-1515
Fax: (949) 362-7548
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | A41039 | California |
Profile Details
| NPI number | 1942204409 |
|---|---|
| LBN Legal business name | Ghodsian, Kamran |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 10th, 2005 |
| Last updated | Jan 26th, 2012 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1942204409 | NPPES |
| California | MEDICAID | 00A410390 |
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