Individual
ALI GHORBANIFARAJZADEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
500 OLD RIVER RD STE 185, BAKERSFIELD, CA 93311-9505
(661) 832-3600
(661) 322-6249
Mailing address
11325 PARK SQUARE DR APT D204, BAKERSFIELD, CA 93311-8854
(305) 310-8155
(661) 322-6249
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
E5332
CA
213ES0103X
Foot & Ankle Surgery Podiatrist
E5332
CA
Other
Enumeration date
09/21/2014
Last updated
08/06/2019
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