Individual
MISS MINA KAZEMI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
400 N PEPPER AVE, COLTON, CA 92324-1801
(909) 580-1000
Mailing address
1601 BARTON RD APT 2504, REDLANDS, CA 92373-4394
(949) 395-8933
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
20A12740
CA
Other
Enumeration date
11/02/2013
Last updated
11/04/2021
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