Individual
ALEX RAHIMI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
11949 HESPERIA RD STE A, HESPERIA, CA 92345-1855
(760) 244-1212
Mailing address
11949 HESPERIA RD STE A, HESPERIA, CA 92345-1855
(760) 244-1212
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
40884
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
771532
UNITED CONCORDIA #
CA
01
—
B-40884-01
MEDI-CAL PROVIDER #
CA
Enumeration date
01/08/2007
Last updated
07/08/2007
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