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Organization

GHOLAMREZA F. POURZIA, M.D., INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GHOLAMREZA FIROUZ POURZIA M.D. (OWNER)
(562) 595-9073
Entity
Organization

Contact information

Practice address
2865 ATLANTIC AVE, SUITE 221, LONG BEACH, CA 90806-1740
(562) 595-9073
(562) 595-9076
Mailing address
2865 ATLANTIC AVE, SUITE 221, LONG BEACH, CA 90806-1740
(562) 595-9073
(562) 595-9076

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
A45667
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A456671
CA
Enumeration date
11/07/2005
Last updated
09/04/2011
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