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1124679808
ROXANNA MORIDZADEH
COSTA MESA, CA
NPI
1124679808
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA PA57145)
Enumeration Date
2019-09-24
Last Update Date
2024-10-31
Business Address
ROXANNA MORIDZADEH PA-C
1640 NEWPORT BLVD STE 100
COSTA MESA, CA 92627-3786
Phone number: 714-456-8888
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Mailing Address
ROXANNA MORIDZADEH PA-C
PO BOX 2218
SUISUN CITY, CA 94585-5218
Phone number: 657-241-3600
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