SEYED MOHAMMAD REZA KHODDAMI

VENTURA, CA
NPI1437278603
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy208800000X Urology
(Licence: CA  A109665)
Additional Taxonomies2088P0231X 
(Licence: CA  A109665)
Enumeration Date2007-03-28
Last Update Date2012-06-01
Business Address
-- SEYED MOHAMMAD REZA KHODDAMI M.D.
2705 LOMA VISTA RD SUITE 206
VENTURA, CA 93003-1581
Phone number: 805-643-4067
Mailing Address
-- SEYED MOHAMMAD REZA KHODDAMI M.D.
5855 OLIVAS PARK DR
VENTURA, CA 93003-7672
Phone number: 805-667-2801
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