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Individual

LOUIE G MAHAIRAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.P.M.

Contact information

Practice address
24953 PASEO DE VALENCIA, SUITE 15C, LAGUNA HILLS, CA 92653-4342
(949) 305-8333
(949) 305-6333
Mailing address
27068 LA PAZ RD, SUITE 444, ALISO VIEJO, CA 92656-3041
(949) 305-8333
(949) 305-6333

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E4183
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000E41830
CA
Enumeration date
11/02/2006
Last updated
04/17/2013
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