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Individual

AMIR HOSSEN GOLSORKHI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2101 N WATERMAN AVE, SAN BERNARDINO, CA 92404-4836
(909) 883-8711
Mailing address
210 N TUSTIN AVE, SANTA ANA, CA 92705-3807
(714) 347-1010
(714) 647-1245

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A101035
CA
207L00000X
Anesthesiology Physician
M5725
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
190325401
TX
Enumeration date
05/16/2007
Last updated
11/29/2021
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