Individual
DR. FAHIM GHEYBI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8599 HAVEN AVE., SUITE 300, RANCHO CUCAMONGA, CA 91730-4849
(909) 620-8180
(909) 919-7288
Mailing address
8599 HAVEN AVE., SUITE 300, RANCHO CUCAMONGA, CA 91730-4849
(909) 620-8180
(909) 919-7288
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A36483
CA
2085U0001X
Diagnostic Ultrasound Physician
A36483
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A364830
—
CA
01
—
CG1263
RAILROAD MEDICARE
CA
Enumeration date
03/22/2006
Last updated
03/21/2012
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