Individual
DR. AMIR JADIDIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1621 VERANO RD, IRVINE, CA 92617-3119
(773) 808-8959
Mailing address
1621 VERANO RD, IRVINE, CA 92617-3119
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
2021016514
MO
Other
Enumeration date
05/14/2021
Last updated
05/14/2021
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