Organization
REZA DEHDARI MD INC
Active
Other names
Advanced Healing Institute
Organization subpart
No
Provider details
NPI number
Authorized official
REZA DEHDARI MD (PRESIDENT)
(949) 239-3206
Entity
Organization
Contact information
Practice address
22972 EL TORO RD, LAKE FOREST, CA 92630-4961
(949) 239-3206
Mailing address
22972 EL TORO RD, LAKE FOREST, CA 92630-4961
(949) 239-3206
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
05/04/2018
Last updated
05/04/2018
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