Individual provider · Type 1 NPI

Peyman Andalib, MD

Student in an Organized Health Care Education/Training Program · Fontana, CA

NPI number 1104028000 Active

Practice location

9985 Sierra Ave, Kaiser Permanente,department Of Neurology
Fontana, CA 92335-6720

Call (888) 750-0036 Map

Mailing address

9985 Sierra Ave., Kaiser Permanente,department Of Neurology
Fontana, CA 92335

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1104028000

Peyman Andalib, MD's National Provider Identifier is 1104028000, issued on Jun 3, 2007. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Fontana, CA. The record was last updated on Nov 2, 2021.