Mansoori, Anissa
Mansoori, Anissa is an individual health care provider with primary practice located at 27800 Medical Center Rd Ste 220 , Mission Viejo CA 92691-6408. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Mansoori, Anissa can be contacted via phone (949) 545-6605.Contact Information
Primary practice address
27800 Medical Center Rd Ste 220
Mission Viejo CA 92691-6408
Phone: (949) 545-6605
Fax: (949) 326-7509
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 8205 | Georgia |
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | A125067 | California |
Profile Details
NPI number | 1356861975 |
---|---|
LBN Legal business name | Mansoori, Anissa |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 24th, 2017 |
Last updated | Sep 26th, 2023 - 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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