Individual
DR. OMID REZA BAKHTAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 W ARBOR DR, MB#8720, SAN DIEGO, CA 92103-8720
(619) 543-5966
(619) 543-3730
Mailing address
200 W ARBOR DR, MB#8720, SAN DIEGO, CA 92103-8720
(619) 543-5966
(619) 543-3730
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
A86149
CA
Other
Enumeration date
12/28/2006
Last updated
07/08/2007
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