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General NPI Number Information
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NPI Number | 1366981581
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Entity Type | Organization
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Legal Business Name | ALI GOLSHAN MD INC
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Dates
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Enumeration Date | 02/21/2017
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Last Update Date | 02/02/2026
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Provider Practice Location Address
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Address Line | 416 N BEDFORD DR STE 306
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City | BEVERLY HILLS
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State | CA
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Zip | 90210-4309
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Country | US
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Telephone | 310-974-8767
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Fax |
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Provider Business Mailing Address
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Address Line | 9450 SW GEMINI DR PMB 891361
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City | BEAVERTON
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State | OR
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Zip | 97008-7105
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Country | US
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Telephone | 310-974-8767
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Fax | 310-496-2722
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Authorized Official
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Title or Position | OWNER
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Name | ALI GOLSHAN
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Credential |
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Telephone | 310-974-8767
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number | A108102
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License Number State | CA
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