Individual
DR. RAMIN BAHMAN ASHTIANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12780 HESPERIA RD, VICTORVILLE, CA 92395-5806
(760) 946-5177
(760) 946-5133
Mailing address
12780 HESPERIA RD, VICTORVILLE, CA 92395-5806
(760) 946-5177
(760) 946-5133
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
A77527
CA
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
A77527
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DB3373
RAILROAD MEDICARE
CA
01
—
P00345378
RAILROAD MEDICARE
CA
01
—
W13988
MEDICARE PTAN
CA
01
—
W13988A
MEDICARE PTAN
CA
Enumeration date
05/26/2006
Last updated
09/09/2020
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