Individual
MANIJEH ESTEGHLALIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
22041 OAK GRV, MISSION VIEJO, CA 92692-4302
(714) 550-0202
(714) 550-0201
Mailing address
5319 UNIVERSITY DR # 151, IRVINE, CA 92612-2965
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
07/11/2012
Last updated
07/11/2012
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