Individual
BAHRAM BAHRAMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2934 INGELOW ST, SAN DIEGO, CA 92106-2311
(760) 480-4310
(760) 480-4350
Mailing address
777 BANGOR ST, SAN DIEGO, CA 92106-2951
(619) 857-0063
(760) 480-4350
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A-23638
CA
Other
Enumeration date
01/11/2007
Last updated
11/18/2015
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