Individual
DR. BAHRAM ESLAMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
700 N TUSTIN AVE, SANTA ANA, CA 92705-3602
(714) 245-1444
(714) 953-6604
Mailing address
700 N TUSTIN AVE, SANTA ANA, CA 92705-3602
(714) 245-1444
(714) 953-6604
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
C42075
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060039694
RAILROAD MEDICARE
CA
01
—
DB3373
RAILROAD MEDICARE
CA
01
—
W13988
MEDICARE PTAN
CA
01
—
W13988A
MEDICARE PTAN
CA
Enumeration date
05/31/2005
Last updated
05/06/2010
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