Reza Khodadadi
NPI #1790324978 in San Clemente, California
Provider Information
- NPI Number
- 1790324978
- Entity Type
- Individual
- Name
- Reza Khodadadi
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Jan 5, 2020
- Last Updated
- Jan 5, 2020
Practice Location
- Address
- 638 CAMINO DE LOS MARES
- City
- San Clemente
- State
- California
- ZIP Code
- 92673-2848
- Phone
- (949) 487-9791
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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