Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Reza Khodadadi

Individual provider Community/Retail Pharmacy · NPI 1790324978

Reza Khodadadi is a Community/Retail Pharmacy in San Clemente, California. Practices as a sole proprietor. Registered with an NPI since 2020.

In the registry since
2020
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Practice location Address checks out

638 Camino De Los Mares
San Clemente, CA 92673-2848
Phone: (949) 487-9791
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X

Record details

NPI number1790324978
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 5, 2020
Last updated in NPPESJanuary 5, 2020
Certification dateJanuary 5, 2020

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