Entezaralmahdi, Mahnaz

Entezaralmahdi, Mahnaz is an individual health care provider with primary practice located at 10565 Civic Center Dr Bldg Suite165 , Rancho Cucamonga CA 91730-3853. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is her primary health care specialty. Entezaralmahdi, Mahnaz can be contacted via phone (909) 985-2211.

Contact Information

Primary practice address
10565 Civic Center Dr Bldg Suite165 Rancho Cucamonga CA 91730-3853
Phone: (909) 985-2211
Fax: (909) 985-2244
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X Texas
Allopathic & Osteopathic Physicians / Pain Medicine 2084P2900X A147204 California

Profile Details

NPI number 1881005445
LBN Legal business name Entezaralmahdi, Mahnaz
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2014
Last updated May 28th, 2019 - about 6 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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