Rambod Amani Yazdi Md Corp | |
1330 W Covina Blvd Suite206 San Dimas CA 91773-3200 | |
(909) 267-9138 | |
(909) 267-9566 |
Full Name | Rambod Amani Yazdi Md Corp |
---|---|
Speciality | Internal Medicine |
Location | 1330 W Covina Blvd, San Dimas, California |
Authorized Official Name and Position | Rambod Amani Yazdi (PHYSICIAN) |
Authorized Official Contact | 9092679138 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Rambod Amani Yazdi Md Corp 1330 W Covina Blvd Suite 206 San Dimas CA 91773-3200 Ph: (909) 267-9138 | Rambod Amani Yazdi Md Corp 1330 W Covina Blvd Suite206 San Dimas CA 91773-3200 Ph: (909) 267-9138 |
NPI Number | 1720164551 |
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Provider Enumeration Date | 10/27/2006 |
Last Update Date | 02/13/2013 |
Medicare PECOS PAC ID | 6103987581 |
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Medicare Enrollment ID | O20081203000657 |
Identifier | Type | State | Issuer |
---|---|---|---|
1720164551 | NPI | - | NPPES |
00A705210 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | A70521 (* (Not Available)) | Primary |
Provider Name | Rambod Amani Yazdi |
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Provider Type | Practitioner - Endocrinology |
Provider Identifiers | NPI Number: 1811978364 PECOS PAC ID: 7214098680 Enrollment ID: I20081203000551 |
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