Mirbagheri, Mahmood

Mirbagheri, Mahmood is an individual health care provider with primary practice located at 17360 Brookhurst St , Fountain Valley CA 92708-3720. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Mirbagheri, Mahmood can be contacted via phone (714) 665-1797.

Contact Information

Primary practice address
17360 Brookhurst St Fountain Valley CA 92708-3720
Phone: (714) 665-1797
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A52643 California

Profile Details

NPI number 1952300261
LBN Legal business name Mirbagheri, Mahmood
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2005
Last updated Aug 8th, 2016 - about 8 years ago

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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Identifiers

StateTypeNumberIssuer
All States NPI 1952300261 NPPES
California Other 00A526430 MEDI CAL

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