Baghoolizadeh, Mahta

Baghoolizadeh, Mahta is an sole proprietor health care provider with primary practice located at 101 The City Dr S , Orange CA 92868-3201. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is her primary health care specialty. Baghoolizadeh, Mahta can be contacted via phone (714) 880-7812.

Contact Information

Primary practice address
101 The City Dr S Orange CA 92868-3201
Phone: (714) 880-7812
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X A166390 California
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X A166390 California

Profile Details

NPI number 1164927075
LBN Legal business name Baghoolizadeh, Mahta
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 24th, 2018
Last updated May 14th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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