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Individual

FARZANEH MOIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
5319 UNIVERSITY DR # 124, IRVINE, CA 92612-2965
(949) 486-9075
Mailing address
5319 UNIVERSITY DR # 124, IRVINE, CA 92612-2965
(949) 486-9075

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
15422
CA

Other

Enumeration date
06/23/2015
Last updated
09/03/2015
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