Individual provider · NPI-1

Reza Hosseini Dehkordi, MD

Hospitalist · Mission Viejo, CA

NPI number1679540116
StatusActive
Last updated in NPPESNov 30, 2021

Details

NPI
1679540116
Entity type
Individual (NPI-1)
Name
Reza Hosseini Dehkordi
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Mar 3, 2006
Certification date
Nov 30, 2021
Last updated
Nov 30, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208M00000X Hospitalistc54677CAYes
207R00000X Internal MedicineMD36414WA

Other names

  • Reza H Dehkordi (Professional Name)

Practice location

26800 Crown Valley Pkwy
Suite 315
Mission Viejo, CA 92691-6384

Phone 949-364-6000 · Fax 949-364-1204

Mailing address

26800 Crown Valley Pkwy Ste 315
Mission Viejo, CA 92691-8039

Phone 949-364-6000 · Fax 949-364-1204

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