| Ramin Mehdian Medical Corporation | |
|
1000 Newbury Rd Suite 275 Newbury Park CA 91320-6435 | |
| (805) 499-4143 | |
| (805) 499-4160 |
| Full Name | Ramin Mehdian Medical Corporation |
|---|---|
| Speciality | Clinic/Center |
| Location | 1000 Newbury Rd, Newbury Park, California |
| Authorized Official Name and Position | Ramin Mehdian (PRESIDENT) |
| Authorized Official Contact | 8054994143 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ramin Mehdian Medical Corporation Po Box 77790 Corona CA 92877-0126 Ph: (951) 278-5590 | Ramin Mehdian Medical Corporation 1000 Newbury Rd Suite 275 Newbury Park CA 91320-6435 Ph: (805) 499-4143 |
| NPI Number | 1699939652 |
|---|---|
| Provider Enumeration Date | 07/17/2008 |
| Last Update Date | 02/27/2012 |
| Medicare PECOS PAC ID | 6608140108 |
|---|---|
| Medicare Enrollment ID | O20170921003814 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699939652 | NPI | - | NPPES |
| 00A629080 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | A62908 (California) | Primary |
| Provider Name | Ramin Mehdian |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1053457127 PECOS PAC ID: 9335204221 Enrollment ID: I20090209000611 |
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