Organization
MICHAEL B. MORTAZIE, D.O. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL BABAK MORTAZIE DO (PRESIDENT)
(714) 538-8556
Entity
Organization
Contact information
Practice address
1506 E CHAPMAN AVE, ORANGE, CA 92866-2231
(714) 538-8556
(714) 538-1082
Mailing address
1506 E CHAPMAN AVE, ORANGE, CA 92866-2231
(714) 538-8556
(714) 538-1082
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
03/11/2020
Last updated
03/11/2020
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