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General NPI Number Information
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NPI Number | 1669376604
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Entity Type | Organization
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Legal Business Name | SAHAR EIVAZ MOHAMMADI MD INC
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Dates
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Enumeration Date | 10/05/2026
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Last Update Date | 10/05/2026
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Provider Practice Location Address
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Address Line | 751 S WEIR CANYON RD STE 157-383
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City | ANAHEIM
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State | CA
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Zip | 92808-1962
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Country | US
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Telephone | 951-633-1332
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Fax |
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Provider Business Mailing Address
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Address Line | 751 S WEIR CANYON RD STE 157-383
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City | ANAHEIM
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State | CA
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Zip | 92808-1962
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Country | US
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Telephone | 951-633-1332
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SAHAR EIVAZ MOHAMMADI
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Credential | MD
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Telephone | 951-633-1332
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number |
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License Number State | NULL
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