Provider Type Icon

REZA DEHDARI MD INC NPI 1083103006


NPI Information

NPI: 1083103006
Provider Name: REZA DEHDARI MD INC

Doing Business As: ADVANCED HEALING INSTITUTE

Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
22972 EL TORO RD
LAKE FOREST, CA
ZIP 92630
Phone: (949) 239-3206
Get Directions

REZA DEHDARI MD INC is a diagnostic radiology radiology in Lake Forest, CA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. REZA DEHDARI MD INC NPI is 1083103006. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Advanced Healing Institute.

The provider's business location address is:

22972 EL TORO RD
LAKE FOREST, CA
ZIP 92630-961
Phone: (949) 239-3206

The provider's authorized official is Reza Dehdari .
The authorized official title is President and has the following contact phone number (949) 239-3206.

The enumeration date for this NPI number is 5/4/2018 and was last updated on 5/4/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0202XRadiologyDiagnostic RadiologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.