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Individual

GULNAR POORSATTAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
400 CAMARILLO RANCH RD, SUITE 204, CAMARILLO, CA 93012-5901
(805) 482-5550
(805) 233-6367
Mailing address
400 CAMARILLO RANCH RD, SUITE 204, CAMARILLO, CA 93012-5901
(805) 482-5550
(805) 233-6367

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00C505610
CA
01
260051440
TAX ID #
CA
Enumeration date
01/23/2007
Last updated
01/30/2014
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