Individual
ALI GOHARBIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD.
Contact information
Practice address
19950 RINALDI ST, PORTER RANCH, CA 91326-4141
(818) 403-2400
Mailing address
PO BOX 9602, MISSION HILLS, CA 91346-9602
(818) 837-5559
(818) 792-4793
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A117121
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A1171210
—
CA
Enumeration date
09/09/2011
Last updated
11/14/2016
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