Pezeshkpour, Gholamhossei
Pezeshkpour, Gholamhossei is an individual health care provider with primary practice located at 1001 N Tustin Ave , Santa Ana CA 92705-3502. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Pezeshkpour, Gholamhossei can be contacted via phone (714) 835-3555.Contact Information
Primary practice address
1001 N Tustin Ave
Santa Ana CA 92705-3502
Phone: (714) 835-3555
Fax: (714) 953-3541
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | C42944 | California |
Profile Details
NPI number | 1578611380 |
---|---|
LBN Legal business name | Pezeshkpour, Gholamhossei |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 8th, 2007 |
Last updated | Aug 5th, 2016 - about 8 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 | 1578611380 | NPPES |
California | MEDICAID | 00C429440 |
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