Individual provider · NPI-1

Ryan Afrahim

Student in an Organized Health Care Education/Training Program · Pomona, CA

NPI number1649069261
StatusActive
Last updated in NPPESMay 1, 2025

Details

NPI
1649069261
Entity type
Individual (NPI-1)
Name
Ryan Afrahim
Sex
Male
Sole proprietor
Yes
Enumeration date
May 1, 2025
Certification date
May 1, 2025
Last updated
May 1, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

309 E 2nd St
Pomona, CA 91766-1854

Phone 909-469-5589

Mailing address

309 E 2nd St
Pomona, CA 91766-1854

Phone 909-469-5589

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