Individual
DR. SEPIDEH FORSTIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
1300 AVENIDA VISTA HERMOSA, SUITE 100, SAN CLEMENTE, CA 92673-6315
(949) 939-2928
Mailing address
605 CALLE JUAREZ, SAN CLEMENTE, CA 92673-3021
(949) 939-2928
(949) 218-5081
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
23806
CA
Other
Enumeration date
06/20/2012
Last updated
04/15/2016
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