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Contact Information

GOLAREH FAZILAT, MD
23832 ROCKFIELD BLVD STE 150
LAKE FOREST, CA92630-2820
 Phone: 949-502-3333
 Fax: 949-229-3685
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
 

Pediatric Ophthalmology and Strabismus Specialist

207WX0110X 18 Physician/Ophthalmology
Indicates primary specialty

NPI Profile & details for GOLAREH FAZILAT · (Female)

NPI # 1881880896
Status Active
Credentials MD
Entity Individual
Enumeration date 09/24/2007
Last updated 04/29/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • CA License # A10143
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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