Ira J Golchehreh, LAC OMD QME Valid NPI
Individual provider · Acupuncturist · San Rafael, CA
- NPI
- 1760515407
- Type
- Individual (Type 1)
- Primary specialty
- Acupuncturist
- Specialty group
- Other Service Providers
- Taxonomy code
- 171100000X
- License number
- AC003592 (CA)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2007-03-13
- Last updated
- 2007-07-08
Practice location
2175d E Francisco Blvd
San Rafael, CA 94901
(415) 485-4411