Individual
AFSOON ADL GOSTAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14550 HAYNES ST STE 204, VAN NUYS, CA 91411-4112
(818) 672-9863
Mailing address
6606 VARIEL AVE APT 501, CANOGA PARK, CA 91303-3867
(424) 537-6769
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
12/19/2022
Last updated
02/20/2026
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