Organization
KHODDAMI MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SEYED KHODDAMI MD (PRESIDENT)
(805) 652-5469
Entity
Organization
Contact information
Practice address
2705 LOMA VISTA RD STE 206, VENTURA, CA 93003-1584
(805) 652-5469
Mailing address
5855 OLIVAS PARK DR, VENTURA, CA 93003-7672
(805) 667-2801
(805) 641-1706
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
07/19/2019
Last updated
07/19/2019
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