Individual
DR. ASHKAN TAVAKOLI ISFAHANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
24301 PASEO DE VALENCIA, SUITE 102, LAGUNA WOODS, CA 92637-3111
(949) 992-2020
Mailing address
24301 PASEO DE VALENCIA, SUITE 102, LAGUNA WOODS, CA 92637-3111
(949) 992-2020
(949) 992-2021
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
35290
CA
Other
Enumeration date
06/15/2022
Last updated
07/15/2026
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