Organization
ADVANCED FAMILY PRACTICE SPECIALTY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAHSHID ELMZADEH M.D. (SECRETARY)
(949) 654-0660
Entity
Organization
Contact information
Practice address
4950 BARRANCA PKWY STE 111, IRVINE, CA 92604-4630
(949) 654-0660
(949) 654-0640
Mailing address
4950 BARRANCA PKWY. SUITE 111, IRVINE, CA 92604-4630
(949) 654-0660
(949) 654-0640
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0A73928
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5
—
CA
Enumeration date
04/09/2008
Last updated
04/09/2008
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