Provider Demographics
NPI:1255891206
Name:ASEFI, GOLRIZ (MD)
Entity type:Individual
Prefix:DR
First Name:GOLRIZ
Middle Name:
Last Name:ASEFI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 FOLSOM ST APT 8H
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94105-5066
Mailing Address - Country:US
Mailing Address - Phone:925-357-0244
Mailing Address - Fax:
Practice Address - Street 1:345 SPEAR ST STE 120
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94105-1674
Practice Address - Country:US
Practice Address - Phone:415-612-3275
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-24
Last Update Date:2023-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA180051207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA95-2707101OtherEMPLOYER TAX ID