# BIJAN ZARDOUZ M.D. INC

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

## Provider details

- **NPI number:** 1700122637
- **Authorized official:** DR. BIJAN ZARDOUZ M.D. (NEUROLOGY)
- **Authorized official phone:** (714) 540-2272

## Contact information

- **Practice address:** 1220 HEMLOCK WAY STE 108, SANTA ANA, CA 92707-3652
- **Practice address phone:** (714) 540-2272
- **Practice address fax:** (714) 540-7206
- **Mailing address:** PO BOX 28883, SANTA ANA, CA 92799-8883
- **Mailing address phone:** (714) 540-2272
- **Mailing address fax:** (714) 540-7206

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 00A383670 | CA | Yes |
| 261QM2500X | Medical Specialty Clinic/Center | A38367 | CA | — |

## Other

- **Enumeration date:** 12/20/2012
- **Last updated:** 12/20/2012