Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0200X | Critical Care Medicine | A62908 | CA |
Y | 207RP1001X | Pulmonary Disease | A62908 | CA |
N | 207RS0012X | Sleep Medicine | A62908 | CA |
NPI | 1053457127 |
---|---|
Provider Name | Ramin Mehdian |
First Address | Corona, CA 92877-0126 |
Second Address | Newbury Park, CA 91320-6435 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/01/2007 |
Last Update Date | 24/02/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00A629080 | (05) | CA |
H55130 | (02) | CA |