Individual provider · Type 1 NPI

Alireza Ghamgosar, D.P.M.

Foot & Ankle Surgery Podiatrist · San Mateo, CA

NPI number 1295756674 Active

Practice location

120 Saint Matthews Ave Ste A
San Mateo, CA 94401-3088

Fax (650) 477-2162

Other practice locations

  • 50 S San Mateo Dr, Suite 470, San Mateo, CA 94401-3857 · (650) 342-8502

Specialties and licenses

TaxonomyCodeLicense
Foot & Ankle Surgery Podiatrist Primary 213ES0103XE4346 (CA)

Foot & Ankle Surgery Podiatrist: Definition to come...

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About NPI 1295756674

Alireza Ghamgosar, D.P.M.'s National Provider Identifier is 1295756674, issued on Jul 21, 2006. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in San Mateo, CA. The record was last updated on Aug 11, 2021.