Individual
HEIDI GOODARZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1310 W STEWART DR STE 507, ORANGE, CA 92868-3856
(949) 679-1990
Mailing address
366 SAN MIGUEL DR STE 201, NEWPORT BEACH, CA 92660-7810
(949) 430-0334
(949) 430-0336
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A107754
CA
207NP0225X
Pediatric Dermatology Physician
A107754
CA
Other
Enumeration date
06/15/2007
Last updated
06/21/2022
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