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NPI Code Detail

MEDICARE: DR. BIJAN RAHMANI PH.D.

MEDICARE: DR. BIJAN RAHMANI PH.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103T00000XPsychologistPSY12413CA

General Provider Information

NPI Number : 1093915407
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BIJAN RAHMANI PH.D.
Provider Business Mailing Address
First Line : 16756 CHINO CORONA RD
Second Line : # 6000
City : CORONA
State : CA
Zip : 92880-9508
Country : US
Telephone Number : 909-597-1771
Fax Number : 909-597-3458
Provider Business Practice Location Address
First Line : 16756 CHINO CORONA RD
Second Line : # 6000
City : CORONA
State : CA
Zip : 92880-9508
Country : US
Telephone Number : 909-597-1771
Fax Number : 909-597-3458
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/23/2007
Last Update Date : 07/23/2007

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