Individual
HAMID REZA DJALILIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
101 THE CITY DR S, BLDG 56, SUITE 500 RTE 81, ORANGE, CA 92868-3201
(714) 456-5753
(714) 456-2280
Mailing address
101 THE CITY DR S, BLDG 56, SUITE 500 RTE 81, ORANGE, CA 92868-3201
(714) 456-5753
(714) 456-2280
Taxonomy
Speciality
Code
Description
License number
State
207YX0901X
Otology & Neurotology Physician
Primary
A85665
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A856650
—
CA
Enumeration date
05/10/2006
Last updated
12/07/2011
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