Organization
KOUROSH ALEXANDER DASTGHEIB, M.D., INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER RENEE ROWLAND (BILLING/CREDENTIALING MANAGER)
(818) 356-4500
Entity
Organization
Contact information
Practice address
12665 GARDEN GROVE BLVD, STE 301, GARDEN GROVE, CA 92843-1917
(949) 652-6966
(714) 422-0960
Mailing address
12665 GARDEN GROVE BLVD STE 301, GARDEN GROVE, CA 92843-1917
(949) 652-6966
(714) 422-0960
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
06/29/2007
Last updated
07/17/2024
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