Behnam Ebrahimi
Medical Oncology Hematology & Oncology
12577 Naples Way
Rancho Cucamonga
, California 91739
Behnam Ebrahimi
Medical Oncology Hematology & Oncology
12577 Naples Way
Rancho Cucamonga
, California 91739
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About
Features
Specialties
- Hematology & Oncology
- Medical Oncology
Languages spoken
- English
Location
First Address
- Behnam Ebrahimi
- 12577 Naples Way
- Rancho Cucamonga, CA
- Zip : 91739-2631
- Phone :
Second Address
- Behnam Ebrahimi
- 12577 Naples Way
- Rancho Cucamonga, CA
- Zip : 91739
- Phone : (714) 281-2993
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207RH0003X | Hematology & Oncology | A81045 | CA |
| Y | 207RX0202X | Medical Oncology | A81045 | CA |
National Provider Identifier
| NPI | 1033165139 |
|---|---|
| Provider Name | Behnam Ebrahimi |
| First Address | Rancho Cucamonga, CA 91739-2631 |
| Second Address | Rancho Cucamonga, CA 91739 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/05/2006 |
| Last Update Date | 25/03/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| H83492 | (02) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.