Individual
BIJAN MASHOUF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11 LANCASTE CT, LAGUNA NIGUEL, CA 92677-6056
(949) 305-0775
Mailing address
11 LANCASTE CT, LAGUNA NIGUEL, CA 92677-6056
(949) 305-0775
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
AFE33052
CA
Other
Enumeration date
07/10/2009
Last updated
07/10/2009
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