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Individual

DR. BAHNAM THOMAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O

Contact information

Practice address
28078 BAXTER RD STE 128, MURRIETA, CA 92563-1403
(951) 894-5000
Mailing address
27475 YNEZ RD STE 295, TEMECULA, CA 92591-4612
(951) 894-5000

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
20A8914
CA

Other

Enumeration date
07/13/2005
Last updated
06/25/2012
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