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NPI 1205360484 · live from the CMS NPI Registry

Reza Alizadeh, M.D.

Ophthalmology, Glaucoma Specialist in Santa Monica, CA. National Provider Identifier 1205360484, active.

NPI record

NPI1205360484 Type 1 · individual
StatusActive
Primary specialtyOphthalmology, Glaucoma Specialist 207WX0009X
Practice location1807 Wilshire Blvd Ste 203, Santa Monica, CA 90403
Practice phone310-829-0160
Mailing address5767 W Century Blvd Ste 400, Los Angeles, CA 90045
EnumeratedApril 14, 2017
Last updatedApril 1, 2024
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Ophthalmology, Glaucoma Specialist primary207WX0009XA178828 (CA)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.