Individual
ALI MEHDIZADEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11234 ANDERSON ST, HOUSE STAFF OFFICE CP 21005, LOMA LINDA, CA 92354-2804
(909) 558-8131
(909) 558-0430
Mailing address
11234 ANDERSON ST, HOUSE STAFF OFFICE CP 21005, LOMA LINDA, CA 92345-2804
(909) 558-8131
(909) 558-0430
Taxonomy
Speciality
Code
Description
License number
State
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
Primary
A113137
CA
Other
Enumeration date
05/11/2009
Last updated
04/17/2017
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