Organization
SEPIDEH FORSTIE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SEPIDEH FORSTIE D.C. (PRACTITIONER/OWNER)
(949) 939-2928
Entity
Organization
Contact information
Practice address
1300 AVENIDA VISTA HERMOSA, STE 100, SAN CLEMENTE, CA 92673-6315
(949) 939-2928
Mailing address
605 CALLE JUAREZ, SAN CLEMENTE, CA 92673-3021
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
23806
CA
Other
Enumeration date
04/15/2016
Last updated
04/18/2016
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