Individual
REZA KHODAVERDIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
113 WATERWORKS WAY STE 140, IRVINE, CA 92618-3168
(949) 932-0053
Mailing address
19 HEATHER HILL LN, LAGUNA HILLS, CA 92653-6043
(801) 641-1344
(760) 568-6470
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
A127413
CA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
A127413
CA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
PENDING
MD
Other
Enumeration date
04/22/2008
Last updated
06/30/2025
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