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Contact Information

IDEN D ANDACHEH, MD
7111 INDIANA AVE STE 100
RIVERSIDE, CA92504-4557
 Phone: 951-276-9012
 Fax: 951-276-9163
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
 

Vascular Surgery

2086S0129X 76 Physician/Peripheral Vascular Disease
Indicates primary specialty

NPI Profile & details for IDEN D ANDACHEH · (Male)

NPI Number 1881888345
Status Active
Credentials MD
Entity Individual
Enumeration date 08/28/2007
Last updated 12/01/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • CA License # A106941
Hospital affiliation(s)
  • KAISER FOUNDATION HOSPITAL FONTANA - (Acute Care)
    9961 SIERRA AVE
    FONTANA, CA 92335
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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