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General NPI Number Information
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NPI Number | 1770432296
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Entity Type | Organization
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Legal Business Name | GOLD COAST PAIN AND WELLNESS CENTER A MEDICAL CORPORATION
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Dates
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Enumeration Date | 01/27/2026
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Last Update Date | 01/27/2026
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Provider Practice Location Address
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Address Line | 1111 LAS TABLAS RD STE 0
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City | TEMPLETON
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State | CA
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Zip | 93465-9732
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Country | US
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Telephone | 310-625-5848
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Fax |
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Provider Business Mailing Address
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Address Line | 1111 LAS TABLAS RD STE 0
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City | TEMPLETON
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State | CA
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Zip | 93465-9732
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Country | US
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Telephone | 310-625-5848
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SHAHRIAR PIROUZ
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Credential | MD
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Telephone | 310-625-5848
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number |
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License Number State |
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