Individual
DR. MOHAMMAD REZA DADSETAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
225 S GLENOAKS BLVD, BURBANK, CA 91502
(818) 843-1919
(818) 843-3587
Mailing address
225 S GLENOAKS BLVD, BURBANK, CA 91502
(818) 843-1919
(818) 843-3587
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
A49092
CA
2085R0202X
Diagnostic Radiology Physician
Primary
A49092
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A490920
—
CA
01
—
A49092
MEDICAL CERTIFICATE
CA
Enumeration date
10/02/2006
Last updated
09/26/2023
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