Individual
ANNA GOUDARZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
400 N PEPPER AVE # 301, COLTON, CA 92324-1819
(909) 580-3366
Mailing address
400 N PEPPER AVE # 301, COLTON, CA 92324-1819
(909) 580-3366
(909) 580-3332
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
CA
Other
Enumeration date
04/20/2021
Last updated
05/04/2021
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