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Organization
SHIMA HADIDCHI MD A PROFESSIONAL CORP
Active
Organization
SHIMA HADIDCHI MD A PROFESSIONAL CORP
Active
Other names
SHIMA HADIDCHI MD A PROFESSIONAL CORP
Organization subpart
No
Provider details
NPI number
Authorized official
SHIMA HADIDCHI MD (OWNER)
(760) 998-1999
Entity
Organization
Contact information
Practice address
12740 HESPERIA RD STE A, VICTORVILLE, CA 92395-8306
(760) 998-1999
(760) 881-3555
Mailing address
12740 HESPERIA RD STE B, VICTORVILLE, CA 92395-8306
(760) 245-6106
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
08/22/2019
Last updated
02/29/2020
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