Organization
PACIFIC RHEUMATOLOGY MEDICAL CENTER, INC.
Active
Organization
PACIFIC RHEUMATOLOGY MEDICAL CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BEHNAM KHALEGHI MD (MD/OWNER)
(949) 292-4031
Entity
Organization
Contact information
Practice address
1422 EDINGER AVE STE 130, TUSTIN, CA 92780-6298
(714) 628-9342
(714) 628-9759
Mailing address
1422 EDINGER AVE STE 130, TUSTIN, CA 92780-6298
(714) 628-9342
(714) 628-9759
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
C54349
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C54349
CA LICENSE
CA
Enumeration date
06/06/2011
Last updated
08/03/2026
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