Individual
KHODADAD MEHRAEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1415 E 17TH ST, SUITE 280, SANTA ANA, CA 92705-8525
(562) 225-2002
(949) 415-2536
Mailing address
1415 E 17TH ST, SUITE 280, SANTA ANA, CA 92705-8525
(562) 225-2002
(949) 415-2536
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
A68120
CA
Other
Enumeration date
07/18/2007
Last updated
02/07/2011
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