Ghayuri, Mohammadreza

Ghayuri, Mohammadreza is an individual health care provider with primary practice located at 400 N Pepper Ave , Colton CA 92324-1801. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Ghayuri, Mohammadreza can be contacted via phone (909) 580-3470.

Contact Information

Primary practice address
400 N Pepper Ave Colton CA 92324-1801
Phone: (909) 580-3470
Fax: (909) 580-3289
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 35.090050 Ohio
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X C54829 California

Profile Details

NPI number 1073711156
LBN Legal business name Ghayuri, Mohammadreza
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2007
Last updated Feb 27th, 2018 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1073711156 NPPES
California MEDICAID 1073711156

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