Individual
DR. ASLAN GHANDFOROUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
5945 TRUXTUN EXTENSION, BAKERSFIELD, CA 93309-0610
(661) 631-5544
(661) 631-5546
Mailing address
5945 TRUXTUN EXTENSION, BAKERSFIELD, CA 93309-0610
(661) 631-5544
(661) 631-5546
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
20A13941
CA
207RC0000X
Cardiovascular Disease Physician
Primary
20A13941
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1639330954
—
CA
01
—
207R00000X
MEDICARE TAXONOMY
CA
01
—
CA161609
MEDICARE PTAN
—
01
—
P01543877
MEDICARE RAILROAD PTAN
CA
Enumeration date
06/19/2008
Last updated
05/02/2017
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