Derakhshan, Bahram

Derakhshan, Bahram is an sole proprietor health care provider with primary practice located at 14015 Frame Rd , Poway CA 92064-3205. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Derakhshan, Bahram can be contacted via phone (858) 774-6241.

Contact Information

Primary practice address
14015 Frame Rd Poway CA 92064-3205
Phone: (858) 774-6241
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 4079 California

Profile Details

NPI number 1124779681
LBN Legal business name Derakhshan, Bahram
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 15th, 2022
Last updated Jan 15th, 2022 - about 3 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.

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