Individual
DR. ALIREZA NIKBAKSH TEHRANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
19341 BEAR VALLEY RD, SUITE 205, APPLE VALLEY, CA 92308-5151
(760) 240-2444
Mailing address
17868 US HIGHWAY 18, #357, APPLE VALLEY, CA 92307-1267
(760) 927-2002
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
20A10839
CA
208200000X
Plastic Surgery Physician
OS012696
PA
Other
Enumeration date
10/22/2008
Last updated
11/19/2009
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