Organization
PACIFIC RHEUMATOLOGY MEDICAL CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BEHNAM KHALEGHI MD (MD/OWNER)
(814) 248-1006
Entity
Organization
Contact information
Practice address
805 W LA VETA AVE, SUITE 105, ORANGE, CA 92868-3901
(814) 248-1006
Mailing address
805 W LA VETA AVE, SUITE 105, ORANGE, CA 92868-3901
(814) 248-1006
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
06/06/2011
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