Individual
OMID BENJAMIN MEHDIZADEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2125 ARIZONA AVE, SANTA MONICA, CA 90404-1337
(310) 829-8701
(310) 315-4062
Mailing address
2020 SANTA MONICA BLVD FL 3, SANTA MONICA, CA 90404-2023
(310) 829-8868
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
150014
CA
Other
Enumeration date
09/12/2009
Last updated
05/16/2022
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