Dr Ghazaleh Bahrami Professional Corporation
Internal Medicine in Healdsburg, CA. Organization (NPI-2).
NPI number1386042489
StatusActive
Last updated in NPPESDec 5, 2014
Details
- NPI
- 1386042489
- Entity type
- Organization (NPI-2)
- Legal business name
- Dr Ghazaleh Bahrami Professional Corporation
- Organization subpart
- No
- Enumeration date
- Dec 5, 2014
- Last updated
- Dec 5, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | A117471 | CA | Yes |
Practice location
1375 University StHealdsburg, CA 95448-3382
Phone 702-453-3799 · Fax 702-453-5741
Mailing address
4712 Admiralty Way#1126
Marina Del Rey, CA 90292-6905
Phone 702-453-3799 · Fax 702-453-5741
Authorized official
Ghazaleh Bahrami
Owner
3018015842
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