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1013117183
KIAN RAISZADEH
LA JOLLA, CA
NPI
1013117183
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207XX0005X Orthopaedic Surgery, Sports Medicine
(Licence: CA A99221)
Enumeration Date
2007-07-18
Last Update Date
2021-10-13
Business Address
Dr. KIAN RAISZADEH MD
2725 RIDGEGATE ROW
LA JOLLA, CA 92037-0915
Phone number: 201-600-4903
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Mailing Address
Dr. KIAN RAISZADEH MD
2725 RIDGEGATE ROW
LA JOLLA, CA 92037-0915
Phone number: 201-600-4903
Copy
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