Seyfzadeh, Manouchehr
Seyfzadeh, Manouchehr is an sole proprietor health care provider with primary practice located at 188 E 17Th St Suite 101, Costa Mesa CA 92627-3763. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Seyfzadeh, Manouchehr can be contacted via phone (949) 646-7110.Contact Information
Primary practice address
188 E 17Th St Suite 101
Costa Mesa CA 92627-3763
Phone: (949) 646-7110
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | A062453 | California |
Profile Details
| NPI number | 1306895974 |
|---|---|
| LBN Legal business name | Seyfzadeh, Manouchehr |
| Credentials | M.D., PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 9th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1306895974 | NPPES |
| California | Other | WA62453B | PPIN |
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