Provider Demographics
NPI:1780180687
Name:ARA, GOL (MD)
Entity Type:Individual
Prefix:
First Name:GOL
Middle Name:
Last Name:ARA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:GOLARA
Other - Middle Name:
Other - Last Name:ZAHMATKESH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:320 PINE AVE STE 609
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90802-2310
Mailing Address - Country:US
Mailing Address - Phone:562-246-6221
Mailing Address - Fax:562-661-9672
Practice Address - Street 1:320 PINE AVE STE 609
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90802-2310
Practice Address - Country:US
Practice Address - Phone:562-246-6221
Practice Address - Fax:562-661-9672
Is Sole Proprietor?:No
Enumeration Date:2018-04-01
Last Update Date:2023-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA1823272084P0800X
NM390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program