Individual
GOHAR KHOSRAVI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
11401 BLOOMFIELD AVE, NORWALK, CA 90650-2015
(949) 331-9781
Mailing address
1400 N KRAEMER BLVD UNIT 171, PLACENTIA, CA 92871-1408
(657) 341-4422
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A158461
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/01/2015
Last updated
02/04/2023
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