Individual
TAHA GHOLIPOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9350 CAMPUS POINT DR, SAN DIEGO, CA 92037-1300
(858) 657-7000
Mailing address
FILE 57326, LOS ANGELES, CA 90074-7326
(858) 249-6748
Taxonomy
Speciality
Code
Description
License number
State
2084E0001X
Epilepsy Physician
Primary
C187602
CA
2084N0400X
Neurology Physician
0101264640
VA
2084N0400X
Neurology Physician
C187602
CA
2084N0600X
Clinical Neurophysiology Physician
0101264640
VA
2084N0600X
Clinical Neurophysiology Physician
MD046311
DC
Other
Enumeration date
06/18/2012
Last updated
07/26/2024
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