Individual
ALIREZA GHAVAMI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3633 VISTA WAY, OCEANSIDE, CA 92056-4568
(760) 729-7298
Mailing address
4717 NORWALK DR APT M101, SAN JOSE, CA 95129-1488
(408) 425-7973
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
304102
CA
Other
Enumeration date
05/25/2023
Last updated
05/25/2023
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