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Individual

DR. MOHAMMAD REZA SHEIKHOLESLAMI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
27321 CALLE DE LA ROSA, SAN JUAN CAPISTRANO, CA 92675-1875
(949) 728-4841
Mailing address
27321 CALLE DE LA ROSA, SAN JUAN CAPISTRANO, CA 92675-1875
(949) 728-4841

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
A82641
CA

Other

Enumeration date
11/12/2008
Last updated
11/12/2008
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