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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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