Individual
MR. MANOUCHEHR SEYFZADEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
1820 FULLERTON AVENUE, STE 360, CORONA, CA 92881-3106
(951) 270-4494
(951) 270-4495
Mailing address
25422 TRABUCO RD STE 105-333, LAKE FOREST, CA 92630-2791
(949) 855-4439
(888) 978-2187
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A062453
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
WA62453B
PPIN
CA
Enumeration date
05/09/2006
Last updated
07/30/2025
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