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Organization
BRANDON VAZIRIAN MFT
Active
Organization
BRANDON VAZIRIAN MFT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRANDON ALI VAZIRIAN MFT (OWNER)
(714) 980-3912
Entity
Organization
Contact information
Practice address
14351 RED HILL AVE, SUITE C, TUSTIN, CA 92780-6271
(714) 980-3912
(714) 838-5560
Mailing address
14351 RED HILL AVE, SUITE C, TUSTIN, CA 92780-6271
(714) 980-3912
(714) 838-5560
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
MFC47913
CA
273Y00000X
Rehabilitation Hospital Unit
Primary
—
—
Other
Enumeration date
04/19/2011
Last updated
04/20/2011
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