Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Gholamreza Ataollahetabrizi

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1770492662

Gholamreza Ataollahetabrizi is a Psychiatric/Mental Health Nurse Practitioner in Porter Ranch, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2026

Practice location Address checks out

19377 Germain St
Porter Ranch, CA 91326-2955
Phone: (949) 300-6713
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 95041250 (CA)

Record details

NPI number1770492662
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 4, 2026
Last updated in NPPESSeptember 4, 2026
Certification dateSeptember 4, 2026

Other providers in Porter Ranch