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General NPI Number Information
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NPI Number | 1619141413
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Entity Type | Individual
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Provider Name | ROOZBEH HOUSHYAR M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/14/2008
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Last Update Date | 06/13/2025
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Provider Practice Location Address
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Address Line | 101 THE CITY DR S
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City | ORANGE
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State | CA
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Zip | 92868-3201
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Country | US
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Telephone | 714-456-7237
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Fax |
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Provider Business Mailing Address
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Address Line | 1026 BIG BEND DR
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City | PACIFICA
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State | CA
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Zip | 94044-3809
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Country | US
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Telephone | 714-390-5772
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | A118157
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 2085B0100X
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Taxonomy Name | Body Imaging Physician
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License Number | A118157
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License Number State | CA
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