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NPI Code Detail

MEDICARE: REIHANEH CHOKHACHI ZADEH MOGHADAM MD

MEDICARE:   REIHANEH  CHOKHACHI ZADEH MOGHADAM  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine PhysicianA185779CA

General Provider Information

NPI Number : 1629681358
Entity Type Code : Individual
Provider Name (Legal Business Name) : REIHANEH CHOKHACHI ZADEH MOGHADAM MD
Provider Business Mailing Address
First Line : 11234 ANDERSON ST # MC-2532
Second Line :
City : LOMA LINDA
State : CA
Zip : 92350-1716
Country : US
Telephone Number : 909-558-4000
Fax Number :
Provider Business Practice Location Address
First Line : 8405 BEVERLY BLVD
Second Line :
City : LOS ANGELES
State : CA
Zip : 90048-3401
Country : US
Telephone Number : 323-653-1990
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/24/2020
Last Update Date : 04/08/2026

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Directions to “ REIHANEH CHOKHACHI ZADEH MOGHADAM MD” Practice Location

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