Most Relevant Information
Provider Data
| NPI Number: | 1003313859 |
| Provider Name: | ROYA VAHDATINIA |
| Entity Type: | Individual |
| Taxonomy Code: | 208100000X |
| Specialty: | Physical Medicine & Rehabilitation |
| License Number: | 17738 |
Most Important Dates
| Enumeration Date: | 04/09/2018 |
| Last Updated: | 09/26/2023 |
Provider Practice Location
11234 ANDERSON ST STE C
LOMA LINDA
CA
923542804
Practice Location Phone/Fax
| Phone: | 9095586202 |
| Fax: |
Provider Mailing Location
11234 ANDERSON ST
LOMA LINDA
CA
923542804
Provider Mailing Phone/Fax
| Phone: | 9095586202 |
| Fax: |