Individual
SIMIN M GHAHREMANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
855 3RD AVE STE 2200, CHULA VISTA, CA 91911-1353
(619) 426-0100
(619) 426-2170
Mailing address
855 3RD AVE STE 2200, CHULA VISTA, CA 91911-1353
(619) 426-0100
(619) 426-2170
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
C51110
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C51110
LICENSE
CA
Enumeration date
02/01/2007
Last updated
10/03/2007
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