# RAMBOD AMANI YAZDI MD CORP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720164551
- **Authorized official:** MR. RAMBOD AMANI YAZDI MD (PHYSICIAN)
- **Authorized official phone:** (909) 267-9138

## Contact information

- **Practice address:** 1330 W COVINA BLVD, SUITE206, SAN DIMAS, CA 91773-3200
- **Practice address phone:** (909) 267-9138
- **Practice address fax:** (909) 267-9566
- **Mailing address:** 1330 W COVINA BLVD, SUITE 206, SAN DIMAS, CA 91773-3200
- **Mailing address phone:** (909) 267-9138
- **Mailing address fax:** (909) 267-9566

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | A70521 | NULL | Yes |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | A70521 | — | Yes |

## Other

- **Enumeration date:** 10/27/2006
- **Last updated:** 02/13/2013