Provider Demographics
NPI:1649248782
Name:TREMAZI, JAFFAR ABBAS (MD)
Entity type:Individual
Prefix:
First Name:JAFFAR
Middle Name:ABBAS
Last Name:TREMAZI
Suffix:
Gender:M
Credentials:MD
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Other - First Name:
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Mailing Address - Street 1:840 TOWNE CENTER DR
Mailing Address - Street 2:CHAPARRAL MEDICAL GROUP
Mailing Address - City:POMONA
Mailing Address - State:CA
Mailing Address - Zip Code:91767-5900
Mailing Address - Country:US
Mailing Address - Phone:909-398-1550
Mailing Address - Fax:909-398-1488
Practice Address - Street 1:1904 N ORANGE GROVE AVE
Practice Address - Street 2:
Practice Address - City:POMONA
Practice Address - State:CA
Practice Address - Zip Code:91767-3008
Practice Address - Country:US
Practice Address - Phone:909-469-1823
Practice Address - Fax:909-469-1827
Is Sole Proprietor?:No
Enumeration Date:2006-03-14
Last Update Date:2020-02-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA82895207R00000X, 207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A828950Medicaid
I39974Medicare UPIN
CAI39974Medicare ID - Type Unspecified