Individual
MONA REZAEI MIRGHAED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
101 THE CITY DR S, ORANGE, CA 92868-3201
(714) 456-8888
Mailing address
200 S MANCHESTER AVE STE 300, ORANGE, CA 92868-3219
(714) 456-8888
Taxonomy
Speciality
Code
Description
License number
State
2084N0008X
Neuromuscular Medicine (Psychiatry & Neurology) Physician
Primary
A171091
CA
2084N0400X
Neurology Physician
A171091
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1619402955
NPI
TN
Enumeration date
04/24/2017
Last updated
07/22/2024
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