Individual
FARBOD MIRHOSSEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAC. MSTOM
Contact information
Practice address
17801 MAIN ST STE D, IRVINE, CA 92614-6706
(949) 701-6903
Mailing address
284 ROBINSON DR, TUSTIN, CA 92782-0902
(949) 701-6903
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
17922
CA
Other
Enumeration date
01/30/2018
Last updated
01/30/2018
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