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Individual

ZACHARIA REDA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
17100 EUCLID ST., PICU, FOUNTAIN VALLEY, CA 92708
(714) 966-7253
(714) 966-3354
Mailing address
17100 EUCLID ST., PICU, FOUNTAIN VALLEY, CA 92708
(714) 966-7253
(714) 966-3354

Taxonomy

Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
A47947
CA
2080P0214X
Pediatric Pulmonology Physician
Primary
A47947
CA

Other

Enumeration date
06/10/2005
Last updated
02/02/2012
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