Individual
DR. OMID VAHDAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3801 KATELLA AVE, SUITE 310, LOS ALAMITOS, CA 90720-3338
(562) 598-0604
(562) 598-1649
Mailing address
PO BOX 1817, HUNTINGTON BEACH, CA 92647-1817
(562) 598-0604
(562) 598-1649
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
A64306
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A643060
—
CA
Enumeration date
05/24/2006
Last updated
05/03/2012
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