Healthcare Provider Details

I. General information

NPI: 1215881149
Provider Name (Legal Business Name): DSGOL A PROFESSIONAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/26/2026
Last Update Date: 02/26/2026
Certification Date: 02/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8929 WILSHIRE BLVD STE 400
BEVERLY HILLS CA
90211-1953
US

IV. Provider business mailing address

8929 WILSHIRE BLVD STE 400
BEVERLY HILLS CA
90211-1953
US

V. Phone/Fax

Practice location:
  • Phone: 424-383-8111
  • Fax:
Mailing address:
  • Phone: 424-383-8111
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State

VIII. Authorized Official

Name: SAMUEL GOLPANIAN
Title or Position: OWNER
Credential: MD
Phone: 424-383-8111