Individual
DR. AMIRHASSAN BAHREMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8851 CENTER DR, SUITE 608, LA MESA, CA 91942-3017
(619) 460-5850
(619) 460-5849
Mailing address
8851 CENTER DR, SUITE 608, LA MESA, CA 91942-3017
(619) 460-5850
(619) 460-5849
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
01059340A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200498540
—
IN
Enumeration date
06/09/2005
Last updated
10/12/2012
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