Organization
AFSANEH HAFTBARADARAN MOHAMMADI MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AFSANEH HAFTBARADARAN MOHAMMADI MD (PRESIDENT)
(216) 258-1705
Entity
Organization
Contact information
Practice address
25411 CABOT RD STE 105, LAGUNA HILLS, CA 92653-5517
(949) 403-5555
(949) 403-1165
Mailing address
25496 RODEO CIR, LAGUNA HILLS, CA 92653-5879
(216) 258-1705
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Enumeration date
04/28/2022
Last updated
12/10/2022
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