Healthcare Provider Details

I. General information

NPI: 1447773114
Provider Name (Legal Business Name): R R GOHIL MD APC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/25/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6386 ALVARADO CT STE 330
SAN DIEGO CA
92120-4908
US

IV. Provider business mailing address

6386 ALVARADO CT STE 330
SAN DIEGO CA
92120-4908
US

V. Phone/Fax

Practice location:
  • Phone: 619-286-6446
  • Fax: 619-286-1618
Mailing address:
  • Phone: 619-286-6446
  • Fax: 619-286-1618

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberA99375
License Number StateCA

VIII. Authorized Official

Name: RAHUL RAMESH GOHIL
Title or Position: CEO
Credential: M.D.
Phone: 619-286-6446