Individual
MICHAEL BABAK MORTAZIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1506 E CHAPMAN AVE, ORANGE, CA 92866-2231
(714) 538-8556
(714) 538-1082
Mailing address
2285 CORPORATE CIR, STE 200, HENDERSON, NV 89074-7759
(702) 360-2763
(949) 783-2880
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
14600
CA
Other
Enumeration date
07/11/2012
Last updated
09/17/2020
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