Individual
MOHAMMAD GHALICHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8631 W 3RD ST STE 815E, LOS ANGELES, CA 90048-5901
(424) 340-5222
(424) 206-4938
Mailing address
8631 W 3RD ST STE 815E, LOS ANGELES, CA 90048-5901
(832) 221-0989
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
P1311
TX
207RC0000X
Cardiovascular Disease Physician
Primary
A103682
CA
207RC0000X
Cardiovascular Disease Physician
P1311
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
323128402
—
TX
05
—
323128403
—
TX
05
—
323128404
—
TX
Enumeration date
07/23/2008
Last updated
08/10/2021
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