Ahmadi, Behrooz
Ahmadi, Behrooz is an sole proprietor health care provider with primary practice located at 5451 La Palma Ave #34, La Palma CA 90623-1728. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Ahmadi, Behrooz can be contacted via phone (714) 739-5816.Contact Information
Primary practice address
5451 La Palma Ave #34
La Palma CA 90623-1728
Phone: (714) 739-5816
Fax: (714) 739-2450
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | A22029 | California |
Profile Details
| NPI number | 1437248820 |
|---|---|
| LBN Legal business name | Ahmadi, Behrooz |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 12th, 2006 |
| Last updated | Dec 9th, 2011 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1437248820 | NPPES |
| California | MEDICAID | 00A220291 |
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