Individual
MR. HOMAYOON JOHN GANJI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
31662 ISLE VISTA, LAGUNA NIGUEL, CA 92677-5444
(949) 280-3120
Mailing address
31662 ISLE VISTA, LAGUNA NIGUEL, CA 92677
(949) 280-3120
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A20795
CA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
MD00012616
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A20795
JOHN H. GANJL, MD LIC #
CA
Enumeration date
12/01/2008
Last updated
03/07/2023
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