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Organization
SIX TWO FIVE, INC.
Active
Organization
SIX TWO FIVE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SARA GHAZI D.O. (CEO)
(951) 316-0657
Entity
Organization
Contact information
Practice address
17150 EUCLID ST STE 200, FOUNTAIN VALLEY, CA 92708-4092
(714) 395-4595
Mailing address
1791 N RIDGEWOOD ST, ORANGE, CA 92865-4453
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
20A13144
CA
Other
Enumeration date
05/28/2015
Last updated
08/26/2022
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