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Organization
PERRY B. SHEIDAYI, D.O., PROFESSIONAL CORPORATION
Active
Organization
PERRY B. SHEIDAYI, D.O., PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PERRY BEHROOZ SHEIDAYI D.O. (PRESIDENT)
(949) 650-5771
Entity
Organization
Contact information
Practice address
18 ENDEAVOR STE 201, IRVINE, CA 92618-3181
(949) 650-5771
(949) 340-3967
Mailing address
18 ENDEAVOR STE 201, IRVINE, CA 92618-3181
(949) 650-5771
(949) 340-3967
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20A7800
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00AX78000
—
CA
01
—
W17052
MEDICARE ID
CA
Enumeration date
08/31/2006
Last updated
02/18/2020
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