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Organization
MITRA FATOURECHI-ALSHARIF, PROFESSIONAL CORPORATION
Active
Organization
MITRA FATOURECHI-ALSHARIF, PROFESSIONAL CORPORATION
Active
Other names
Mitra Fatourechi, MD
Organization subpart
No
Provider details
NPI number
Authorized official
MITRA FATOURECHI-ALSHARIF MD (MEDICAL DIRECTOR, PRESIDENT)
(949) 650-0630
Entity
Organization
Contact information
Practice address
275 VICTORIA ST STE 2F, COSTA MESA, CA 92627-1906
(949) 650-0630
(949) 650-3754
Mailing address
275 VICTORIA ST STE 2F, COSTA MESA, CA 92627-1906
(949) 650-0630
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
NULL
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
Other
Enumeration date
03/27/2025
Last updated
04/11/2025
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