Alireza Halati, MD Medical Corporation

Organization Active NPI General Practice Physician · Diamond Bar, CA

NPI 1750895694 · NPPES record last updated Nov 30, 2017

Key facts

NPI
1750895694
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Physician 208D00000X
License
A92433 (CA)
Legal business name
ALIREZA HALATI, MD MEDICAL CORPORATION
Practice address
3220 S Brea Canyon Rd Ste F
Diamond Bar, CA 91765-3481
Phone
(909) 598-7868
NPI assigned
Nov 30, 2017
Organization subpart
No

Authorized official

Name
Alireza Halati, MD
Title
President
Phone
(949) 413-3455

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician
Group: 193400000X SINGLE SPECIALTY GROUP
208D00000X A92433 CA Yes

Addresses

Primary practice location

3220 S Brea Canyon Rd Ste F
Diamond Bar, CA 91765-3481

Mailing address

3220 S Brea Canyon Rd Ste F
Diamond Bar, CA 91765-3481
Phone (909) 598-7868

Other providers in Diamond Bar, CA

All providers in Diamond Bar, CA · General Practice Physician in California

Sources for this page

Verify at the official NPI Registry.