Whalio Doctors

NPI 1194898064

Mahindokht Mary Raiszadeh, MD

Practitioner Legal Medicine San Diego, CA

Practice location

Address
5222 Balboa Ave STE 45, San Diego, CA 92117-6904
Phone
(858) 616-6430

Registered specialties

Legal Medicine Primary
Other Service Providers Taxonomy 173000000X Licence A34656 (CA)

Registry record

NPI
1194898064
Entity type
Individual
Sex (as registered)
Female
NPI issued
16 Nov 2006
Record last updated
5 Nov 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.