Individual
AFSOON FOOROHAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
34 MARK WEST SPRINGS RD FL 2, SANTA ROSA, CA 95403-1766
(707) 573-5240
(707) 573-5411
Mailing address
1021 S ELLIOTT PL, SANTA ANA, CA 92704-2224
(858) 774-8638
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20A14940
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20A14940
STATE MEDICAL LICENSE
CA
Enumeration date
03/31/2015
Last updated
03/26/2019
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