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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952300261 | NPPES |
| California | Other | 00A526430 | MEDI CAL |
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