Individual
HAIDEH MOBARAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2650 S BRISTOL ST, 101&103, SANTA ANA, CA 92704-5751
(714) 754-1444
(714) 754-7009
Mailing address
26 CAPOBELLA, IRVINE, CA 92614-8103
(949) 474-7445
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A97509
CA
Other
Enumeration date
01/21/2008
Last updated
01/11/2012
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