Individual
MR. RAMIN P SHIRAZI III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
25411 MINA CT, LAKE FOREST, CA 92630-5311
(949) 929-7281
Mailing address
25411 MINA CT, LAKE FOREST, CA 92630-5311
(949) 929-7281
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
TCP-33502
—
Other
Enumeration date
10/10/2019
Last updated
10/10/2019
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