Individual
MR. HEDAYAT GOLCHEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
16311 VENTURA BLVD, SUITE # 787, ENCINO, CA 91436-2124
(818) 905-7323
(818) 783-6108
Mailing address
16311 VENTURA BLVD, SUITE # 787, ENCINO, CA 91436-2124
(818) 905-7323
(818) 783-6108
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A040588
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A040588
MEDICAL LICENSE
CA
Enumeration date
02/13/2007
Last updated
04/10/2012
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