| Farrokh Alemzadeh M D Inc | |
|
655 Camino De Los Mares Ste 207 San Clemente CA 92673-2809 | |
| (949) 654-4325 | |
| (949) 654-8730 |
| Full Name | Farrokh Alemzadeh M D Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 655 Camino De Los Mares Ste 207, San Clemente, California |
| Authorized Official Name and Position | Farrokh Alemzadeh (OWNER) |
| Authorized Official Contact | 9496544325 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Farrokh Alemzadeh M D Inc 655 Camino De Los Mares Ste 207 San Clemente CA 92673-2809 Ph: (949) 654-4325 | Farrokh Alemzadeh M D Inc 655 Camino De Los Mares Ste 207 San Clemente CA 92673-2809 Ph: (949) 654-4325 |
| NPI Number | 1871529297 |
|---|---|
| Provider Enumeration Date | 06/25/2006 |
| Last Update Date | 11/17/2022 |
| Medicare PECOS PAC ID | 9234112392 |
|---|---|
| Medicare Enrollment ID | O20040609001475 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871529297 | NPI | - | NPPES |
| A55448 | Other | CA | STATE LICENSE |
| PCP 1203 | Other | CA | MONARCH HEALTH CARE |
| ZZZ67835Z | Other | CA | BLUE SHIELD |
| ZZZ67836Z | Other | CA | BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Farrokh Alemzadeh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528094828 PECOS PAC ID: 9537151477 Enrollment ID: I20040331001717 |
| Provider Name | Sara Shokouhi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487735726 PECOS PAC ID: 7911947932 Enrollment ID: I20050510000362 |
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