Individual
MR. BAHMAN DADGOSTAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
700 E GILBERT ST, COTTAGE 4 ACCESS, SAN BERNARDINO, CA 92415-1003
(909) 381-2420
(909) 386-0770
Mailing address
11171 OAKWOOD DR, # E-105, LOMA LINDA, CA 92354-4802
(909) 799-7951
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/29/2007
Last updated
07/08/2007
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