BEHNAM EBRAHIMI


Address: 12577 Naples Way, Rancho Cucamonga, CA 91739
Phone: 7142812993

BEHNAM EBRAHIMI (NPI# 1033165139) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1033165139
Entity Type Individual
Full Name BEHNAM EBRAHIMI
Credential M.D.
Practice Address 12577 Naples Way
Rancho Cucamonga
CA 91739
Mailing Address 12577 Naples Way
Rancho Cucamonga
CA 91739-2631
Practice Telephone 7142812993
Enumeration Date 2006-05-26
Last Update Date 2019-03-25
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207RH0003X Internal Medicine
Specialization: Hematology & Oncology
A81045 CA Allopathic & Osteopathic Physicians
Y 207RX0202X Internal Medicine
Specialization: Medical Oncology
A81045 CA Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
7777 Milliken Ave Ste 110, Rancho Cucamonga, CA 917306781 9099492242 9099209863
1910 Royalty Dr, Pomona, CA 917673021 9098659960 9098659696

Office Location

Street Address 12577 NAPLES WAY
City RANCHO CUCAMONGA
State CA
Zip Code 91739

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Taxonomy Information

Taxonomy Code 207RX0202X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Medical Oncology

Taxonomy Definition

An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source. 11/5/2007: corrected definition]

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1801214903 Varsha Tulpule Internal Medicine 1441 Eastlake Ave # Nor3444, Los Angeles, CA 90089-1029 2014-04-04
1912321407 Jennifer Sanbar Internal Medicine 2640 Montrose Ave, Montrose, CA 91020-1312 2014-02-05
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Competitor

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City RANCHO CUCAMONGA
Zip Code 91739

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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