Individual
SAMAN HEIDARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1322 BELL AVE STE 1E, TUSTIN, CA 92780-6438
(949) 290-4156
Mailing address
1322 BELL AVE STE 1E, TUSTIN, CA 92780-6438
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
Other
Enumeration date
04/29/2016
Last updated
04/29/2016
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