Search › California › 103TC0700X
Golzar Kouklan, BS
NPI 1649544289 · on the registry since 2012
Practice
- Address
- 434 E 4th St
Long Beach, CA 90802 - Phone
- (630) 715-2520
- Organisation at this address
- Open Door Billing, Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 103TC0700X
103TC0700X
- Also registered as
- 390200000X
- Licence states on file
- WI, CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-08-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California