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Reza Dehdari, M.D.

Radiology, Diagnostic Radiology in Tustin, CA. Individual provider (NPI-1).

NPI number1508024126
StatusActive
Last updated in NPPESMar 7, 2023

Details

NPI
1508024126
Entity type
Individual (NPI-1)
Name
Reza Dehdari
Credential
M.D.
Sex
Male
Sole proprietor
Yes
Enumeration date
May 30, 2008
Last updated
Mar 7, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2085R0202X Radiology, Diagnostic RadiologyA113848CAYes

Practice location

2615 Saint Simons
Tustin, CA 92782-1229

Phone 714-456-7890

Mailing address

2615 Saint Simons
Tustin, CA 92782-1229

Phone 714-456-7890

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