Organization
ALIREZA EMDADI, MD., INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALIREZA EMDADI MD (PRESIDENT)
(310) 497-5956
Entity
Organization
Contact information
Practice address
17 COASTAL OAK, NEWPORT COAST, CA 92657-1655
(310) 497-5956
Mailing address
17 COASTAL OAK, NEWPORT COAST, CA 92657-1655
(310) 497-5956
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
03/19/2018
Last updated
03/21/2018
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