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MR. REZA MOHAMMAD BIRJANDI DDS
>> Dentist >> Dental ProvidersRegistrant NPI Number: 1083801336
Individual Registrant:MR. REZA MOHAMMAD BIRJANDI DDS
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
27066 SOUTH LA PAZ RD ALISO VIEJO, CA 92656 US
Tel: 949-360-9700 Fax: 949-362-5182
Tel: 949-360-9700 Fax: 949-362-5182
Contact information for business:
27066 SOUTH LA PAZ RD ALISO VIEJO, CA 92656 US
Tel: 949-360-9700 Fax: 949-362-5182
Tel: 949-360-9700 Fax: 949-362-5182
Registration Information:
NPI: 1083801336
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 122300000X | Dental Providers Dentist | CA | 38259 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| MEDICAL | G9410101 | CA | 01 |
