REZA DEHDARI MD INC NPI 1083103006

NPI Information

  • NPI: 1083103006
  • Provider Name: REZA DEHDARI MD INC
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Organization
  • Doing Business As: ADVANCED HEALING INSTITUTE
  • Address: 22972 EL TORO RD
    LAKE FOREST, CA
    ZIP 92630
  • Phone: (949) 239-3206

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NPI Details

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?

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This page was last updated on: 11/21/2025

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