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Organization
SHIMA HADIDCHI MD A PROFESSIONAL CORP
Active
Organization
SHIMA HADIDCHI MD A PROFESSIONAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHIMA HADIDCHI (MD)
(760) 988-1999
Entity
Organization
Contact information
Practice address
12740 HESPERIA RD, VICTORVILLE, CA 92395
(760) 999-0918
Mailing address
12740 HESPERIA RD STE B, 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
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
255634383
—
CA
Enumeration date
01/19/2023
Last updated
01/19/2023
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