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General NPI Number Information
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NPI Number | 1285582023
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Entity Type | Organization
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Legal Business Name | SADEGHI HEALTHCARE PROVIDERS, A PROFESSIONAL MEDICAL CORPORATION
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Dates
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Enumeration Date | 03/18/2026
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Last Update Date | 03/18/2026
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Provider Practice Location Address
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Address Line | 350 S OAK AVE
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City | OAKDALE
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State | CA
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Zip | 95361-3519
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Country | US
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Telephone | 985-381-6758
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Fax |
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Provider Business Mailing Address
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Address Line | 4 PENINSULA
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City | NEWPORT COAST
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State | CA
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Zip | 92657-1516
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Country | US
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Telephone | 985-381-6758
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SEYED ALIREZA SADEGHI
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Credential | MD
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Telephone | 985-381-6758
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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