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Individual

DR. MOHAMAD BAKTASH NOORI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
21586 CABROSA, MISSION VEIJO, MISSION VIEJO, CA 92691-1238
(949) 813-6896
(949) 582-5237
Mailing address
21586 CABROSA STR, MISSION VEIJO, MISSION VEIJO, CA 92691
(949) 813-6896
(949) 582-5237

Taxonomy

Speciality
Code
Description
License number
State
111NI0013X
Independent Medical Examiner Chiropractor
Primary
DC30885
CA
111NN1001X
Nutrition Chiropractor
DC30885
CA

Other

Enumeration date
06/16/2008
Last updated
06/16/2008
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