Organization
RAMIN MEHDIAN MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAMIN MEHDIAN M.D. (PRESIDENT)
(805) 499-4143
Entity
Organization
Contact information
Practice address
1000 NEWBURY RD, SUITE 275, NEWBURY PARK, CA 91320-6435
(805) 499-4143
(805) 499-4160
Mailing address
PO BOX 77790, CORONA, CA 92877-0126
(951) 278-5590
(951) 272-9924
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
A62908
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A629080
—
CA
Enumeration date
07/17/2008
Last updated
02/27/2012
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