| Bozorgmanesh Corp | |
|
26741 Portola Pkwy Ste 1d Foothill Ranch CA 92610-1762 | |
| (949) 581-4908 | |
| Not Available |
| Full Name | Bozorgmanesh Corp |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 26741 Portola Pkwy Ste 1d, Foothill Ranch, California |
| Authorized Official Name and Position | Soha Haghani (PRESIDENT/CEO) |
| Authorized Official Contact | 3108738353 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bozorgmanesh Corp 38 Promontory Park Aliso Viejo CA 92656-3380 Ph: (310) 873-8353 | Bozorgmanesh Corp 26741 Portola Pkwy Ste 1d Foothill Ranch CA 92610-1762 Ph: (949) 581-4908 |
| NPI Number | 1962166355 |
|---|---|
| Provider Enumeration Date | 10/22/2021 |
| Last Update Date | 10/22/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962166355 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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