Organization
AMIN ESFAHANI M.D. CORPORATION
Active
Other names
Central Valley Skin Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
AMIN ESFAHANI MD (OWNER)
(646) 306-6613
Entity
Organization
Contact information
Practice address
1390 W H ST STE A, OAKDALE, CA 95361-3529
(209) 755-7546
(209) 444-6634
Mailing address
2801 GREWAL PKWY APT 533, MODESTO, CA 95356-8018
(646) 306-6613
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A172964
STATE LICENSE
CA
Enumeration date
10/02/2024
Last updated
12/13/2024
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