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BARSAM GHARAGOZLOU MD INC. NPI 1356839872


NPI Information

NPI: 1356839872
Provider Name: BARSAM GHARAGOZLOU, MD INC.
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
3700 SUNSET LN STE 4
ANTIOCH, CA
ZIP 94509
Phone: (925) 754-7200
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BARSAM GHARAGOZLOU, MD INC. is a primary care clinic center in Antioch, CA. BARSAM GHARAGOZLOU, MD INC. NPI is 1356839872. The provider is registered as an organization entity type.

The provider's business location address is:

3700 SUNSET LN STE 4
ANTIOCH, CA
ZIP 94509-123
Phone: (925) 754-7200
Fax: (925) 754-7290

The provider's authorized official is Barsam Gharagozlou .
The authorized official title is President and has the following contact phone number (925) 754-7200.

The enumeration date for this NPI number is 4/30/2018 and was last updated on 5/11/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QP2300XClinic/CenterPrimary CareYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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