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Provider Information for 1336385509



DR. HADIS REYHANI D.D.S.

Gender: FEMALE

Individual NPI: 1336385509

Calendar Last Updated: 2008-12-18

Details

Name Value
NPI 1336385509
Enumeration Date 2008-12-18
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 1155 S LA JOLLA AVE
LOS ANGELES, CA 90035-2524
United States

Phone: 310-666-5015 | Fax: 213-748-2264
View Map External Link
Primary Practice Address 1155 S. LA JOLLA AVE.
LOS ANGELES, CA 90035-2524
United States

Phone: 310-666-5015 | Fax: 213-748-2264
View Map External Link
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 1223G0001X - Dentist General Practice CA 57373
Other Identifiers
Issuer State Number
Endpoint Information
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location