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Organization
FERESHTEH JAHANPANAH A PROFESSIONAL MEDICAL CORPORATION
Active
Organization
FERESHTEH JAHANPANAH A PROFESSIONAL MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FERESHTEH JAHANPANAH M.D. (PRESIDENT/OWNER)
(619) 447-6001
Entity
Organization
Contact information
Practice address
1333 E MAIN ST, EL CAJON, CA 92021-6540
(619) 447-6001
(619) 447-6096
Mailing address
1333 E MAIN ST, EL CAJON, CA 92021-6540
(619) 447-6001
(619) 447-6096
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
G65104
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1609194570
—
CA
Enumeration date
05/17/2010
Last updated
10/19/2015
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