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Bahram Derakhshan
NPI 1124779681 · on the registry since 2022 · sole proprietor
Practice
- Address
- 14015 Frame Rd
Poway, CA 92064 - Phone
- (858) 774-6241
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-01-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California