Individual
GOLSHAD SADEGHISHAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12821 VICTORY BLVD, NORTH HOLLYWOOD, CA 91606-3012
(818) 432-5025
(818) 766-3926
Mailing address
330 N FAIRFAX AVE, LOS ANGELES, CA 90036-2109
(818) 432-5025
(818) 766-3926
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
08/28/2012
Last updated
10/18/2012
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