Organization
CENTER FOR DIABETES, ENDOCRINOLOGY & NUTRITION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GULNAR POORSATTAR MD (PRESIDENT)
(805) 482-5550
Entity
Organization
Contact information
Practice address
400 CAMARILLO RANCH RD, #204, CAMARILLO, CA 93012-5901
(805) 482-5550
(805) 233-6367
Mailing address
400 CAMARILLO RANCH RD, SUITE 204, CAMARILLO, CA 93012-5901
(805) 482-5550
(805) 233-6367
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
C50561
CA
Other
Enumeration date
01/23/2007
Last updated
05/07/2012
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