| Razi Medical Group Inc | |
|
12740 Hesperia Rd Ste B Victorville CA 92395-8306 | |
| (760) 713-6969 | |
| (760) 245-9448 |
| Full Name | Razi Medical Group Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 12740 Hesperia Rd Ste B, Victorville, California |
| Authorized Official Name and Position | Arash Milani (PRESIDENT) |
| Authorized Official Contact | 7607136969 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Razi Medical Group Inc 12740 Hesperia Rd Ste A Victorville CA 92395-8306 Ph: (760) 245-6106 | Razi Medical Group Inc 12740 Hesperia Rd Ste B Victorville CA 92395-8306 Ph: (760) 713-6969 |
| NPI Number | 1295165645 |
|---|---|
| Provider Enumeration Date | 11/22/2013 |
| Last Update Date | 02/29/2020 |
| Medicare PECOS PAC ID | 1456580737 |
|---|---|
| Medicare Enrollment ID | O20140225000110 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295165645 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A118364 (California) | Primary |
| Provider Name | Johnny J Choi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376640714 PECOS PAC ID: 8224090238 Enrollment ID: I20080417000237 |
| Provider Name | Arash G Milani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043581317 PECOS PAC ID: 1951559988 Enrollment ID: I20120918000200 |
| Provider Name | Christine Hoban |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710387436 PECOS PAC ID: 1850614389 Enrollment ID: I20150108000561 |
| Provider Name | Jorge Soler Iglesias |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104313402 PECOS PAC ID: 9638423908 Enrollment ID: I20181127000222 |
| Provider Name | Sheila Marie Kraft |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225681372 PECOS PAC ID: 9830421981 Enrollment ID: I20191023001064 |
| Provider Name | Connie C Laurent |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568195212 PECOS PAC ID: 5395113856 Enrollment ID: I20221115001755 |
| Provider Name | Ali Rafatnia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346878717 PECOS PAC ID: 2668893009 Enrollment ID: I20231115002192 |
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