Individual
AMIR H RONAGHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
31872 COAST HWY, LAGUNA BEACH, CA 92651-6773
(949) 499-7195
Mailing address
DEPT LA 21650, PASADENA, CA 91185-1650
(949) 263-8620
(949) 263-1639
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A55026
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A550260
BLUE SHIELD
CA
05
—
00A550260
—
CA
01
—
P000468483
RAILROAD MEDICARE
CA
Enumeration date
10/07/2005
Last updated
07/22/2024
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