Individual
ARDESHIR EBN ALNASSIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
13095 JAMBOREE RD, TUSTIN, CA 92782-9150
(714) 838-8254
Mailing address
3 ROCKY CREEK LN, LAGUNA HILLS, CA 92653-4490
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
53953
CA
Other
Enumeration date
04/05/2017
Last updated
04/05/2017
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