Organization
AMIN ESFAHANI M.D. CORPORATION
Active
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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