Organization
AEG MEDICAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALI GOLSHAN MD (OWNER)
(916) 342-6460
Entity
Organization
Contact information
Practice address
1626 MONTANA AVE STE 629, SANTA MONICA, CA 90403-1808
(310) 974-8767
Mailing address
1626 MONTANA AVE STE 629, SANTA MONICA, CA 90403-1808
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
09/18/2025
Last updated
09/18/2025
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