SearchCalifornia103TC0700X

Fazlollah Aldavoud, PHD

NPI 1619170958 · on the registry since 2007

Practice

Address
Fifth And Western California Rehabilitation Center
Dept Of Corrections State Of California
Norco, CA 92860
Phone
(951) 737-2683
Fax
(951) 273-2974

Registry record

Primary taxonomy
103TC0700X
103TC0700X
Also registered as
106H00000X
174400000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-07-25

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California