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Individual

DR. HAMID REZA REDJAL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
401 E CARRILLO ST, SANTA BARBARA, CA 93101-1460
(805) 563-3307
(805) 563-0998
Mailing address
1523 CALLE PATRICIA, PACIFIC PALISADES, CA 90272-1939
(573) 388-3030
(573) 335-8424

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
2012037238
MO
207X00000X
Orthopaedic Surgery Physician
Primary
A99471
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
A99471
DCA MEDICAL LICENSE
CA
Enumeration date
08/08/2007
Last updated
08/19/2015
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