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REZA KHODADADI
NPI 1790324978
Pharmacy - Community/Retail Pharmacy in San Clemente, CA

Active since January 05, 2020
638 CAMINO DE LOS MARES, SAN CLEMENTE, CA 92673(949) 487-9791 Get Directions Write a Review

NPPES record last updated: January 5, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Reza Khodadadi NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

REZA KHODADADI (NPI 1790324978) is an individual community/retail pharmacy provider in San Clemente, California and active in the NPI registry since January 2020.

NPPES Registry Identity

NPI1790324978
Entity TypeIndividualMale
Primary Taxonomy3336C0003X
Provider Legal NameREZA KHODADADI
Location Address638 CAMINO DE LOS MARESSan Clemente, CA 92673-2848
Mailing Address17252 ChestnutIrvine, CA 92612-2351
Phone(949) 487-9791
Sole ProprietorYes
Enumeration DateJanuary 5, 2020
✔ NPI 1790324978 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
638 CAMINO DE LOS MARES, San Clemente, CA 92673
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Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KATARZYNA ANNA HUDSON NP
Nurse Practitioner (Family)
638 CAMINO DE LOS MARES
SAN CLEMENTE, CA 92673
Orange County (714) 348-6790
MRS. VICTORIA LYNN WHALEN APRN, NP-C
Nurse Practitioner (Family)
638 CAMINO DE LOS MARES
SAN CLEMENTE, CA 92673
Orange County (866) 389-2727
SONIA GORDON LUCKEY DNP, APRN
Nurse Practitioner (Psychiatric/Mental Health)
638 CAMINO DE LOS MARES
SAN CLEMENTE, CA 92673
Orange County (949) 494-8426
DR. MI-JIN LIM O.D.
Optometrist
638 CAMINO DE LOS MARES, A120
SAN CLEMENTE, CA 92673
Orange County (949) 493-2269
VICTORIA DEANGELO
Pharmacist
638 CAMINO DE LOS MARES
SAN CLEMENTE, CA 92673
Orange County (949) 487-9791
HOME SLEEP PARTNERS
Clinical Medical Laboratory
638 CAMINO DE LOS MARES, SUITE H130-600
SAN CLEMENTE, CA 92673
Orange County (949) 257-7151
SAMEY ABDULRUB PHARMD
Pharmacist
638 CAMINO DE LOS MARES
SAN CLEMENTE, CA 92673
Orange County (949) 487-9791
JEAN M LIM OPTOMETRY, INC
Optometrist
638 CAMINO DE LOS MARES, A120
SAN CLEMENTE, CA 92673
Orange County (949) 493-2269

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Reza Khodadadi's NPI number?

The NPI number for Reza Khodadadi is 1790324978. It was assigned to this individual provider in the NPPES registry on January 5, 2020.

Where is Reza Khodadadi located?

Reza Khodadadi practices at 638 Camino De Los Mares, San Clemente, CA 92673. The listed phone number is (949) 487-9791.

What is Reza Khodadadi's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

When was this NPI record last updated?

The NPPES record for Reza Khodadadi was last updated on January 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.