Dr. Kian Raiszadeh
Sports Medicine Orthopaedic Surgeon
2725 Ridgegate Row
La Jolla
, California 92037-0915
Dr. Kian Raiszadeh
Sports Medicine Orthopaedic Surgeon
2725 Ridgegate Row
La Jolla
, California 92037-0915
(201) 600-4903
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About
Features
Specialties
- Sports Medicine Orthopaedic Surgeon
Languages spoken
- English
Location
First Address
- Dr. Kian Raiszadeh
- 2725 Ridgegate Row
- La Jolla, CA
- Zip : 92037-0915
- Phone : (201) 600-4903
Second Address
- Dr. Kian Raiszadeh
- 2725 Ridgegate Row
- La Jolla, CA
- Zip : 92037-0915
- Phone : (201) 600-4903
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207XX0005X | Sports Medicine Orthopaedic Surgeon | A99221 | CA |
National Provider Identifier
| NPI | 1013117183 |
|---|---|
| Provider Name | Dr. Kian Raiszadeh |
| First Address | La Jolla, CA 92037-0915 |
| Second Address | La Jolla, CA 92037-0915 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/07/2007 |
| Last Update Date | 13/10/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.