Individual
DR. AIDA KAROUN RECHDOUNI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2626 FOOTHILL BLVD STE 102, LA CRESCENTA, CA 91214-3574
(888) 610-8909
(888) 610-8908
Mailing address
2750 PINERIDGE PL, LA CRESCENTA, CA 91214-1458
(888) 610-8909
(888) 610-8908
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A72786
CA
207ZP0101X
Anatomic Pathology Physician
Primary
A72786
CA
291U00000X
Clinical Medical Laboratory
A72786
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A727860
—
CA
01
—
1952325565
GROUP NPI
CA
01
—
A72786
STATE MEDICAL LICENSE
CA
01
—
P00344958
RAILROAD MEDICARE
CA
01
—
ZZZ310292Z
BLUE SHIELD
CA
Enumeration date
02/06/2007
Last updated
02/24/2026
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