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Organization
MARYAM RAHNEMUN MD INC
Active
Organization
MARYAM RAHNEMUN MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARYAM RAHNEMUM M.D. (PRESIDENT)
(714) 547-1700
Entity
Organization
Contact information
Practice address
14150 CULVER DR STE 105, IRVINE, CA 92604-0322
(949) 612-6050
Mailing address
PO BOX 18588, IRVINE, CA 92623-8588
(714) 547-1700
(714) 547-1771
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A53377
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A533771
—
CA
05
—
W19308
—
CA
Enumeration date
12/12/2006
Last updated
10/08/2019
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