Organization
HEIDI GOODARZI, MD, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HEIDI GOODARZI MD (PRESIDENT/OWNER)
(949) 412-9450
Entity
Organization
Contact information
Practice address
1310 W STEWART DR STE 507, ORANGE, CA 92868-3856
(949) 679-1990
(949) 430-0336
Mailing address
1310 W STEWART DR STE 507, ORANGE, CA 92868-3856
(863) 420-4807
(866) 803-5111
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
207NP0225X
Pediatric Dermatology Physician
—
—
Other
Enumeration date
04/28/2022
Last updated
07/12/2022
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