Doctor Name: | BEHNAM EBRAHIMI |
NPI Number: | 1033165139 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | A81045 |
Business Practice Address: | 1910 Royalty Dr Pomona, CA - 917673021 |
Business Phone Number: | 9098659960 |
Business Fax Number: | 9098659696 |
Mailing Address: | 1333 South Mayflower Avenue, 2nd Flr, MONROVIA |
State: | CA |
Postal Code: | 910164066 |
Phone Number: | 6267753514 |
Fax Number: | 6264083911 |
NPI Enumeration Date: | 05/26/2006 |
NPI Last Update Date: | 08/31/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | A81045 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |