Individual
ANISSA MANSOORI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
27800 MEDICAL CENTER RD STE 220, MISSION VIEJO, CA 92691-6408
(949) 545-6605
(949) 326-7509
Mailing address
27800 MEDICAL CENTER RD STE 220, MISSION VIEJO, CA 92691-6408
(949) 545-6605
(949) 326-7509
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
8205
GA
363A00000X
Physician Assistant
Primary
A125067
CA
Other
Enumeration date
06/24/2017
Last updated
11/13/2024
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