Individual
DR. JAHANGIR SADEGHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
950 NORTHGATE DR, SAN RAFAEL, CA 94903-3433
(415) 479-2372
(415) 472-6225
Mailing address
950 NORTHGATE DR, SUITE 209, SAN RAFAEL, CA 94903-3414
(415) 479-2372
(415) 472-6225
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
483-265146
CA
207W00000X
Ophthalmology Physician
Primary
C50518
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
483265146
STATE ID
CA
01
—
C50518
MEDICAL LICENSE NUMBER
CA
Enumeration date
08/25/2006
Last updated
03/07/2023
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