Individual
DR. ARDAVAN AFRASIABI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1092 LA LIMONAR RD, NORTH TUSTIN, CA 92705-2304
(714) 734-0679
Mailing address
1092 LA LIMONAR RD, NORTH TUSTIN, CA 92705-2304
(714) 734-0679
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
C52848
CA
207R00000X
Internal Medicine Physician
L5215
TX
Other
Enumeration date
09/30/2005
Last updated
07/08/2007
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