Individual
GOLNAZ ROUHANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4644 LINCOLN BLVD, STE 424, MARINA DEL RAY, CA 90292
(310) 482-8906
Mailing address
13160 MINDANAO WAY STE 200, MARINA DEL REY, CA 90292-7907
(310) 482-6906
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA22459
CA
Other
Enumeration date
10/16/2012
Last updated
05/27/2025
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