Organization
FARIBORZ LALEZARZADEH DO INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FARIBORZ LALEZARZADEH DO (PRESIDENT)
(909) 883-8834
Entity
Organization
Contact information
Practice address
164 W HOSPITALITY LN STE 100, SAN BERNARDINO, CA 92408-3316
(909) 883-8834
(909) 644-4021
Mailing address
700 E REDLANDS BLVD STE U506, REDLANDS, CA 92373-6109
(909) 883-8834
(909) 883-8834
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
261QM2500X
Medical Specialty Clinic/Center
20A8309
CA
Other
Enumeration date
12/23/2009
Last updated
11/08/2022
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