Individual
ALI DEYHIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
2504 HARRISON AVE STE A, EUREKA, CA 95501-3221
(707) 725-5223
Mailing address
2504 HARRISON AVE STE A, EUREKA, CA 95501-3221
(707) 725-5223
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
5520
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ANTHEM
ANTHEM
—
Enumeration date
07/17/2007
Last updated
09/02/2024
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