NPI | 1225685332 |
---|---|
Doing Business As | SHIMA HADIDCHI MD A PROFESSIONAL CORP |
Entity Type | Organization |
Authorized Contact | SHIMA HADIDCHI Owner 760-998-1999 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2019-08-22 |
Last Update Date | 2020-02-29 |