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Organization
SINA MEDICAL GROUP
Active
Organization
SINA MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MANDANA MOUSAVI D.C. (PRESIDENT)
(714) 972-2200
Entity
Organization
Contact information
Practice address
1125 E 17TH ST STE N461, SANTA ANA, CA 92701-2270
(714) 972-2200
Mailing address
1125 E 17TH ST STE N461, SANTA ANA, CA 92701-2270
(714) 972-2200
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC26980
CA
207R00000X
Internal Medicine Physician
20A6766
KS
Other
Enumeration date
10/08/2010
Last updated
10/08/2010
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