Organization
MEHDI F DERAMBKHSH MD INC
Active
Other names
Physicians Choice Dermatology
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MEHDI FARSHAD DERAMBAKHSH M.D (PRESIDENT/OWNER)
(310) 218-6415
Entity
Organization
Contact information
Practice address
3500 S BRISTOL ST, SUITE 203, SANTA ANA, CA 92704-7319
(714) 542-3439
(888) 505-0789
Mailing address
PO BOX 2474, PALOS VERDES PENINSULA, CA 90274-8474
(714) 542-3439
(888) 505-0789
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A88950
CA
207ND0101X
MOHS-Micrographic Surgery Physician
A88950
CA
207Q00000X
Family Medicine Physician
A88950
CA
Other
Enumeration date
05/05/2014
Last updated
05/05/2014
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