Individual
REZA SHAHBAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
101 THE CITY DR S, ORANGE, CA 92868-3201
(714) 456-9870
Mailing address
101 CITY DRIVE, ORANGE, CA 92868
(714) 456-7891
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
A106268
CA
Other
Enumeration date
06/16/2010
Last updated
03/27/2012
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