Organization
OMID VAHDAT MD INC
Active
Organization
OMID VAHDAT MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OMID VAHDAT M.D. (CEO)
(562) 598-0604
Entity
Organization
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
Enumeration date
07/09/2006
Last updated
07/01/2010
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