Individual
BAHRAM SOHRABI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5451 WALNUT AVE, CHINO, CA 91710
(909) 464-8600
Mailing address
13193 CENTRAL AVE, CHINO, CA 91710-4179
(909) 464-9675
(909) 590-3898
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20A15511
CA
Other
Enumeration date
04/27/2016
Last updated
07/17/2018
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