Individual
DR. ALI REZA GOHARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7373 WEST LN, STOCKTON, CA 95210-3377
(703) 772-0529
Mailing address
7373 WEST LN, STOCKTON, CA 95210-3377
(703) 772-0529
Taxonomy
Speciality
Code
Description
License number
State
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
A112644
CA
Other
Enumeration date
10/18/2006
Last updated
02/11/2022
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