Individual
SHAYAN ZOGHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
155 N FRESNO ST, FRESNO, CA 93701-2302
(559) 499-6450
Mailing address
26 FECAMP, NEWPORT COAST, CA 92657-1047
(559) 999-0901
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
02007017A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
CA
Other
Enumeration date
03/25/2020
Last updated
11/14/2022
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