Individual
DR. MOHAMMAD ALI GHARAVI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
16255 VENTURA BLVD, SUITE 910, ENCINO, CA 91436
(818) 990-4600
Mailing address
2190 LYNN RD, SUITE 220, THOUSAND OAKS, CA 91360
(805) 495-8050
(805) 496-2160
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
A30200
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A302000
—
CA
Enumeration date
03/10/2006
Last updated
04/08/2008
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