Alireza Halati, MD Medical Corporation

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

A92433 Issued in 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

Last updated

Nov 30, 2017By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Alireza Halati, MD

Title

President

Phone

(949) 413-3455

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1512000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512000000000",
    "number": "1750895694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3220 S BREA CANYON RD STE F",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917653481",
            "telephone_number": "909-598-7868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3220 S BREA CANYON RD STE F",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917653481",
            "telephone_number": "909-598-7868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALIREZA HALATI, MD MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-30",
        "last_updated": "2017-11-30",
        "status": "A",
        "authorized_official_last_name": "HALATI",
        "authorized_official_first_name": "ALIREZA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-413-3455",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "A92433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in Diamond Bar, CA
• Providers in Diamond Bar, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.