Individual
AVANI GOKALDAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
26740 TOWNE CENTRE DR, FOOTHILL RANCH, CA 92610-2839
(949) 588-9293
(949) 588-0409
Mailing address
42 GOLF DR, ALISO VIEJO, CA 92656-1633
(562) 756-3359
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085-002344
IL
Other
Enumeration date
05/09/2006
Last updated
04/23/2012
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