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1477598704
KOOROS SAMADZADEH
VENTURA, CA
NPI
1477598704
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: CA 20A7918)
Enumeration Date
2006-06-19
Last Update Date
2009-07-22
Business Address
Dr. KOOROS SAMADZADEH D.O.
147 N BRENT ST
VENTURA, CA 93003-2809
Phone number: 805-652-5652
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Mailing Address
Dr. KOOROS SAMADZADEH D.O.
147 N BRENT ST
VENTURA, CA 93003-2809
Phone number: 805-652-5652
Copy
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