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Organization
FARROKH ALEMZADEH M D INC
Active
Organization
FARROKH ALEMZADEH M D INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FARROKH ALEMZADEH M.D. (OWNER)
(949) 654-4325
Entity
Organization
Contact information
Practice address
655 CAMINO DE LOS MARES STE 207, SAN CLEMENTE, CA 92673-2809
(949) 654-4325
(949) 654-8730
Mailing address
655 CAMINO DE LOS MARES STE 207, SAN CLEMENTE, CA 92673-2809
(949) 654-4325
(949) 654-8730
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A55448
STATE LICENSE
CA
01
—
PCP 1203
MONARCH HEALTH CARE
CA
01
—
ZZZ67835Z
BLUE SHIELD
CA
01
—
ZZZ67836Z
BLUE SHIELD
CA
Enumeration date
06/25/2006
Last updated
11/17/2022
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