# AIDA K RECHDOUNI, MD INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629458765
- **Authorized official:** DR. AIDA KAROUN RECHDOUNI M.D. (PRESIDENT)
- **Authorized official phone:** (818) 468-2929

## Contact information

- **Practice address:** 2626 FOOTHILL BLVD STE 102, LA CRESCENTA, CA 91214-3574
- **Practice address phone:** (888) 610-8909
- **Practice address fax:** (888) 610-8908
- **Mailing address:** 2750 PINERIDGE PL, LA CRESCENTA, CA 91214-1458
- **Mailing address phone:** (818) 468-2929
- **Mailing address fax:** (888) 610-8908

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | A72786 | CA | Yes |
| 291U00000X | Clinical Medical Laboratory | CLF00342461 | CA | — |

## Other

- **Enumeration date:** 06/04/2015
- **Last updated:** 03/23/2023