Organization
AVESTA CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REZA H TIRGARI MD (PRESIDENT)
(619) 523-0410
Entity
Organization
Contact information
Practice address
250 PROSPECT PL, CORONADO, CA 92118-1943
(619) 522-3722
Mailing address
PO BOX 28247, TEMPE, AZ 85285-8247
(480) 967-6500
(480) 967-6540
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A76540
CA
Other
Enumeration date
11/14/2007
Last updated
11/14/2007
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