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1346737178
ALI MAHDAVI FARD
LOMA LINDA, CA
NPI
1346737178
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207W00000X Ophthalmology
(Licence: CA A177153)
Enumeration Date
2018-04-17
Last Update Date
2023-08-16
Business Address
ALI MAHDAVI FARD MD
11370 ANDERSON ST STE 1800
LOMA LINDA, CA 92354-3450
Phone number: 909-558-2154
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Mailing Address
ALI MAHDAVI FARD MD
FILE NUMBER 54701
LOS ANGELES, CA 90074-4701
Phone number:
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