Organization
ALIREZA HALATI, MD MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALIREZA HALATI MD (PRESIDENT)
(949) 413-3455
Entity
Organization
Contact information
Practice address
3220 S BREA CANYON RD STE F, DIAMOND BAR, CA 91765-3481
(909) 598-7868
Mailing address
3220 S BREA CANYON RD STE F, DIAMOND BAR, CA 91765-3481
(909) 598-7868
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A92433
CA
Other
Enumeration date
11/30/2017
Last updated
11/30/2017
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