Individual
BEHNAM EBRAHIMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12577 NAPLES WAY, RANCHO CUCAMONGA, CA 91739
(714) 281-2993
Mailing address
12577 NAPLES WAY, RANCHO CUCAMONGA, CA 91739-2631
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
A81045
CA
207RX0202X
Medical Oncology Physician
Primary
A81045
CA
Other
Enumeration date
05/26/2006
Last updated
03/25/2019
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