Individual
ANOOSHIRVAN BOZORGMEHR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1700 N WATERMAN AVE, SAN BERNARDINO, CA 92404-5115
(702) 579-3203
Mailing address
PO BOX 35380, LAS VEGAS, NV 89133-5380
(702) 579-3203
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20A12364
CA
207R00000X
Internal Medicine Physician
20A12364
CA
Other
Enumeration date
05/09/2013
Last updated
11/15/2025
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