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General NPI Number Information
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NPI Number | 1033387170
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Entity Type | Organization
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Legal Business Name | ALIREZA JAFARI MD INC
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Dates
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Enumeration Date | 02/12/2008
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Last Update Date | 06/09/2020
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Provider Practice Location Address
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Address Line | 14350 WHITTIER BLVD STE 310
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City | WHITTIER
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State | CA
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Zip | 90605-2152
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Country | US
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Telephone | 562-945-7746
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Fax | 562-945-6619
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Provider Business Mailing Address
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Address Line | 10053 WHITTWOOD DR UNIT 1218
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City | WHITTIER
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State | CA
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Zip | 90609-0412
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Country | US
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Telephone | 562-945-7746
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Fax | 562-945-6619
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Authorized Official
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Title or Position | PRESIDENT
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Name | ALIREZA JAFARI
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Credential | MD
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Telephone | 562-945-7746
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | A49135
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License Number State | CA
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