Individual
DR. BEHNAM RADI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
79295 HIGHWAY 111, LA QUINTA, CA 92253-2060
(760) 564-5125
Mailing address
PO BOX 6514, LA QUINTA, CA 92248-6514
(818) 614-0916
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
75091
CA
Other
Enumeration date
03/31/2018
Last updated
03/31/2018
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