Dr. Ghazal Kooshk Jalali, MD
Internal Medicine in Long Beach, CA. Individual provider (NPI-1).
NPI number1154843571
StatusActive
Last updated in NPPESApr 5, 2022
Details
- NPI
- 1154843571
- Entity type
- Individual (NPI-1)
- Name
- Dr. Ghazal Kooshk Jalali
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 7, 2017
- Certification date
- Apr 5, 2022
- Last updated
- Apr 5, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | A170339 | CA | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
2801 Atlantic AveLong Beach, CA 90806-1701
Phone 562-933-2000
Mailing address
900 S Caton AveBaltimore, MD 21229-5201
Other practice locations
900 S Caton Ave
Baltimore, MD 21229-5201
Baltimore, MD 21229-5201
Phone 310-880-6424
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