Individual
ALIREZA B. ESFAHANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9961 SIERRA AVE, FONTANA, CA 92335-6720
(909) 427-5923
Mailing address
9961 SIERRA AVE, FONTANA, CA 92335-6720
(909) 427-5923
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
A136722
CA
207UN0902X
Nuclear Imaging & Therapy Physician
6436
NE
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
A136722
CA
390200000X
Student in an Organized Health Care Education/Training Program
RS2013-0534
NM
Other
Enumeration date
07/27/2011
Last updated
07/24/2015
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