Individual
DR. BARSAM GHARAGOZLOU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
1123971
CA
208M00000X
Hospitalist Physician
A143860
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A143860
STATE MEDICAL LICENSE
CA
Enumeration date
03/23/2013
Last updated
07/15/2019
Update your record
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