Individual
HAMID R MIRSHAHIDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11370 ANDERSON ST, LOMA LINDA, CA 92354-3450
(909) 558-2481
Mailing address
FILE NUMBER 54701, LOS ANGELES, CA 90074-0001
(909) 558-3111
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
A80969
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A809690
—
CA
Enumeration date
06/25/2006
Last updated
05/04/2009
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