Individual
SHIVA KHERADMAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
44605 AVENIDA DE MISSIONES STE 202, TEMECULA, CA 92592-5001
(727) 588-5200
Mailing address
44605 AVENIDA DE MISSIONES STE 202, TEMECULA, CA 92592-5001
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
18822
CA
Other
Enumeration date
04/08/2017
Last updated
06/04/2021
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