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Individual

REZA HOSSEINI DEHKORDI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
26800 CROWN VALLEY PKWY, SUITE 315, MISSION VIEJO, CA 92691-6384
(949) 364-6000
(949) 364-1204
Mailing address
26800 CROWN VALLEY PKWY STE 315, MISSION VIEJO, CA 92691-8039
(949) 364-6000
(949) 364-1204

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD36414
WA
208M00000X
Hospitalist Physician
Primary
C54677
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8250383
WA
Enumeration date
03/03/2006
Last updated
11/30/2021
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