Individual
DR. BEHROOZ AHMADI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
5451 LA PALMA AVE, #34, LA PALMA, CA 90623-1728
(714) 739-5816
(714) 739-2450
Mailing address
5451 LA PALMA AVE, #34, LA PALMA, CA 90623-1728
(714) 739-5816
(714) 739-2450
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A22029
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A220291
—
CA
Enumeration date
10/12/2006
Last updated
12/09/2011
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