Individual
DR. GOLAREH FAZILAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
23832 ROCKFIELD BLVD STE 150, LAKE FOREST, CA 92630-2820
(949) 502-3333
(949) 229-3685
Mailing address
23832 ROCKFIELD BLVD STE 150, LAKE FOREST, CA 92630-2820
(949) 502-3333
(949) 229-3685
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
A10143
CA
207WX0110X
Pediatric Ophthalmology and Strabismus Specialist Physician
A10143
CA
Other
Enumeration date
09/24/2007
Last updated
04/29/2020
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