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General NPI Number Information
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NPI Number | 1073644027
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Entity Type | Organization
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Legal Business Name | MEDICAL CONSULTANTS OF SOUTHERN CALIFORNIA, INC
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Dates
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Enumeration Date | 03/08/2007
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Last Update Date | 06/25/2024
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Provider Practice Location Address
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Address Line | 8577 HAVEN AVE SUITE 208
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City | RANCHO CUCAMONGA
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State | CA
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Zip | 91730-4850
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Country | US
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Telephone | 909-944-5353
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Fax |
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Provider Business Mailing Address
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Address Line | 8577 HAVEN AVE SUITE 208
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City | RANCHO CUCAMONGA
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State | CA
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Zip | 91730-4850
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Country | US
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Telephone | 909-944-5353
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RAMIN MONSHIZADEH
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Credential | MD
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Telephone | 909-944-5353
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | G86057
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License Number State | CA
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