# CENTER FOR DIABETES, ENDOCRINOLOGY & NUTRITION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447305305
- **Authorized official:** GULNAR POORSATTAR MD (PRESIDENT)
- **Authorized official phone:** (805) 482-5550

## Contact information

- **Practice address:** 400 CAMARILLO RANCH RD, \#204, CAMARILLO, CA 93012-5901
- **Practice address phone:** (805) 482-5550
- **Practice address fax:** (805) 233-6367
- **Mailing address:** 400 CAMARILLO RANCH RD, SUITE 204, CAMARILLO, CA 93012-5901
- **Mailing address phone:** (805) 482-5550
- **Mailing address fax:** (805) 233-6367

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | C50561 | CA | Yes |

## Other

- **Enumeration date:** 01/23/2007
- **Last updated:** 05/07/2012