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General NPI Number Information
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NPI Number | 1992052369
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Entity Type | Organization
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Legal Business Name | ALLAMEH MEDICAL CORPORATION
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Dates
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Enumeration Date | 08/05/2012
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 25982 PALA STE 170
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City | MISSION VIEJO
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State | CA
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Zip | 92691-6736
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Country | US
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Telephone | 949-581-2002
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Fax | 949-581-2221
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Provider Business Mailing Address
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Address Line | 25982 PALA STE 170
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City | MISSION VIEJO
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State | CA
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Zip | 92691-6736
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Country | US
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Telephone | 949-581-2002
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Fax | 949-581-2221
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Authorized Official
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Title or Position | PRESIDENT / CEO
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Name | REZA ALLAMEHZADEH
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Credential | M.D.
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Telephone | 949-922-9170
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | A102735
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License Number State | CA
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