Individual
ROYA SUSAN MOHEIMANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
801 N TUSTIN AVE STE 403, SANTA ANA, CA 92705-3608
(714) 285-0014
Mailing address
801 N TUSTIN AVE STE 403, SANTA ANA, CA 92705-3608
(714) 285-0014
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
A158419
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/03/2017
Last updated
03/05/2026
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