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Individual

DR. RAMIN RAISZADEH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
6719 ALVARADO ROAD, SUITE 308, SAN DIEGO, CA 92120
(619) 265-7912
(619) 265-7922
Mailing address
6719 ALVARADO ROAD, SUITE 308, SAN DIEGO, CA 92120
(619) 265-7912
(619) 265-7922

Taxonomy

Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
A88341
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
A88341
STATE LICENSE
CA
Enumeration date
12/19/2006
Last updated
08/23/2012
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