FOROUGH SARGOLZAEIAVAL MD
NPI 1104407519
Student in an Organized Health Care Education/Training Program in San Diego, CA

Active since April 16, 2021
200 W ARBOR DR # 7723, SAN DIEGO, CA 92103(206) 698-2430 Get Directions Write a Review

NPPES record last updated: April 16, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Forough Sargolzaeiaval Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FOROUGH SARGOLZAEIAVAL MD (NPI 1104407519) is an individual student in an organized health care education/training program in San Diego, California and active in the NPI registry since April 2021.

NPPES Registry Identity

NPI1104407519
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameFOROUGH SARGOLZAEIAVALCredential: MD
Location Address200 W ARBOR DR # 7723San Diego, CA 92103-1911
Mailing Address200 W Arbor Dr # 7723San Diego, CA 92103-1911
Sole ProprietorNo
Enumeration DateApril 16, 2021
NPPES CertifiedApril 16, 2021
NPI 1104407519 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

200 W ARBOR DR # 7723, San Diego, CA 92103

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pathology (Anatomic Pathology & Clinical Pathology)
200 W ARBOR DR # 7723
SAN DIEGO, CA 92103

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104407519, enumerated as an "individual" on April 16, 2021.

The provider is located at 200 W ARBOR DR # 7723 SAN DIEGO, CA 92103 and the phone number is (206) 698-2430.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.