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Organization
REZA BASHTAR MD, INC
Active
Organization
REZA BASHTAR MD, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REZA BASHTAR MD (PRESIDENT/OWNER)
(858) 208-6550
Entity
Organization
Contact information
Practice address
1 HOAG DR, NEWPORT BEACH, CA 92663-4162
(858) 208-6550
(714) 685-1567
Mailing address
13204 TELMO, IRVINE, CA 92618-0281
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A119388
CA
Other
Enumeration date
10/01/2015
Last updated
10/01/2015
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