Poormehr, Shahrokh
Poormehr, Shahrokh is an individual health care provider with primary practice located at 24953 Paseo De Valencia, #22A , Laguna Hills CA 92653. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Poormehr, Shahrokh can be contacted via phone (949) 527-1828.Contact Information
Primary practice address
24953 Paseo De Valencia, #22A
Laguna Hills CA 92653
Phone: (949) 527-1828
Fax: (949) 472-4126
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 20A6385 | California |
Profile Details
| NPI number | 1104902378 |
|---|---|
| LBN Legal business name | Poormehr, Shahrokh |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 31st, 2006 |
| Last updated | Sep 25th, 2019 - about 5 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 | 1104902378 | NPPES |
| California | Other | 0020A63850 | BLUE SHIELD |
| California | Other | 20A6385 | BLUE SHIELD |
| California | Other | P00133250 | BLUE SHIELD |
| California | MEDICAID | 00AX63850 | BLUE SHIELD |
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