Pezeshkpour, Gholamhossei

Pezeshkpour, Gholamhossei is an individual health care provider with primary practice located at 1001 N Tustin Ave , Santa Ana CA 92705-3502. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Pezeshkpour, Gholamhossei can be contacted via phone (714) 835-3555.

Contact Information

Primary practice address
1001 N Tustin Ave Santa Ana CA 92705-3502
Phone: (714) 835-3555
Fax: (714) 953-3541
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X C42944 California

Profile Details

NPI number 1578611380
LBN Legal business name Pezeshkpour, Gholamhossei
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 8th, 2007
Last updated Aug 5th, 2016 - about 10 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 1578611380 NPPES
California MEDICAID 00C429440

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