Individual
FARANAK POURGHASEMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14981 NATIONAL AVE STE 2, LOS GATOS, CA 95032-2600
(408) 884-5851
(408) 884-1503
Mailing address
18817 MARTHA AVE, SARATOGA, CA 95070-4641
(510) 432-8864
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E4658
CA
Other
Enumeration date
02/13/2006
Last updated
07/13/2011
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