Gholian, Shervin

Gholian, Shervin is an sole proprietor health care provider with primary practice located at 620 California Blvd Suite G, San Luis Obispo CA 93401-2541. He recently has only one registered license in Dental Providers / Endodontics, which is considered as his primary health care specialty. Gholian, Shervin can be contacted via phone (805) 543-7668.

Contact Information

Primary practice address
620 California Blvd Suite G San Luis Obispo CA 93401-2541
Phone: (805) 543-7668
Fax: (805) 543-7661
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X 48603 California

Profile Details

NPI number 1770789513
LBN Legal business name Gholian, Shervin
Credentials D.M.D., M.M.SC.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 26th, 2007
Last updated Dec 29th, 2009 - about 15 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770789513 NPPES
California Other 20-1089233 TAX IDENTIFICATION NUMBER

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