| Roya Khodaie, Md Inc. | |
|
2865 E Coast Hwy Ste 150 Corona Del Mar CA 92625-2256 | |
| (703) 477-7572 | |
| Not Available |
| Full Name | Roya Khodaie, Md Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 2865 E Coast Hwy Ste 150, Corona Del Mar, California |
| Authorized Official Name and Position | Roya Khodaie (PRESIDENT/OWNER) |
| Authorized Official Contact | 7034777572 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Roya Khodaie, Md Inc. 2865 E Coast Hwy Ste 150 Corona Del Mar CA 92625-2256 Ph: (703) 477-7572 | Roya Khodaie, Md Inc. 2865 E Coast Hwy Ste 150 Corona Del Mar CA 92625-2256 Ph: (703) 477-7572 |
| NPI Number | 1184239345 |
|---|---|
| Provider Enumeration Date | 09/14/2020 |
| Last Update Date | 09/14/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184239345 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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