Organization
ABC CHILDREN'S CLINIC INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARJAN MONFARED M.D. (PRESIDENT)
(949) 380-1234
Entity
Organization
Contact information
Practice address
26730 TOWNE CENTRE DR, SUITE 102, FOOTHILL RANCH, CA 92610-2842
(949) 380-1234
(949) 305-2230
Mailing address
26730 TOWNE CENTRE DR, SUITE 102, FOOTHILL RANCH, CA 92610-2842
(949) 380-1234
(949) 305-2230
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
G078954
CA
Other
Enumeration date
01/20/2010
Last updated
09/26/2011
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