| Shima Hadidchi Md A Professional Corp | |
|
12740 Hesperia Rd Victorville CA 92395 | |
| (760) 999-0918 | |
| Not Available |
| Full Name | Shima Hadidchi Md A Professional Corp |
|---|---|
| Speciality | Family Medicine |
| Location | 12740 Hesperia Rd, Victorville, California |
| Authorized Official Name and Position | Shima Hadidchi (MD) |
| Authorized Official Contact | 7609881999 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shima Hadidchi Md A Professional Corp 12740 Hesperia Rd Ste B 12740 Hesperia Rd Ste B Victorville CA 92395-8306 Ph: (760) 245-6106 | Shima Hadidchi Md A Professional Corp 12740 Hesperia Rd Victorville CA 92395 Ph: (760) 999-0918 |
| NPI Number | 1629783147 |
|---|---|
| Provider Enumeration Date | 01/19/2023 |
| Last Update Date | 01/19/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629783147 | NPI | - | NPPES |
| 255634383 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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