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Individual

REZA ALIZADEH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1807 WILSHIRE BLVD STE 203, SANTA MONICA, CA 90403-5790
(310) 829-0160
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631

Taxonomy

Speciality
Code
Description
License number
State
207WX0009X
Glaucoma Specialist (Ophthalmology) Physician
Primary
A178828
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0441846
OH
Enumeration date
04/14/2017
Last updated
04/01/2024
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