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Individual

DR. ALEXANDER GHOBADIMANESH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
30211 AVENIDA DE LAS BANDERA STE 200, RANCHO SANTA MARGARITA, CA 92688-2159
(949) 490-6362
(650) 590-4938
Mailing address
28081 MARGUERITE PKWY UNIT 2564, MISSION VIEJO, CA 92690-1828

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
20A17207
CA
2084P0800X
Psychiatry Physician
E-11167
AR

Other

Enumeration date
05/25/2015
Last updated
04/13/2023
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