Golchehreh, Ira J

Golchehreh, Ira J is an individual health care provider with primary practice located at 2175D E Francisco Blvd , San Rafael CA 94901. He recently has only one registered license in Other Service Providers / Acupuncturist, which is considered as his primary health care specialty. Golchehreh, Ira J can be contacted via phone (415) 485-4411.

Contact Information

Primary practice address
2175D E Francisco Blvd San Rafael CA 94901
Phone: (415) 485-4411
Fax: (415) 485-0857
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Acupuncturist 171100000X AC003592 California

Profile Details

NPI number 1760515407
LBN Legal business name Golchehreh, Ira J
Credentials LAC OMD QME
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 13th, 2007
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760515407 NPPES
California Other AC003592 ACUPUNCTURE BOARD OF CA

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