Golchehreh, Ira J
Golchehreh, Ira J is an individual health care provider with primary practice located at 2175D E Francisco Blvd , San Rafael CA 94901. He recently has only one registered license in Other Service Providers / Acupuncturist, which is considered as his primary health care specialty. Golchehreh, Ira J can be contacted via phone (415) 485-4411.Contact Information
Primary practice address
2175D E Francisco Blvd
San Rafael CA 94901
Phone: (415) 485-4411
Fax: (415) 485-0857
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Acupuncturist | 171100000X | AC003592 | California |
Profile Details
| NPI number | 1760515407 |
|---|---|
| LBN Legal business name | Golchehreh, Ira J |
| Credentials | LAC OMD QME |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 13th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1760515407 | NPPES |
| California | Other | AC003592 | ACUPUNCTURE BOARD OF CA |
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