Individual
EIMAN FIROOZMAND
Active
Individual
EIMAN FIROOZMAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
A65759
CA
208C00000X
Colon & Rectal Surgery Physician
Primary
A65759
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05D1002337
CLIA NO
CA
01
—
352174655
FEDERAL TAX ID
CA
Enumeration date
08/10/2006
Last updated
12/24/2009
Update your record
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