Individual
CHRISTOPHER MORTAZAVI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
20051 SW BIRCH ST, NEWPORT BEACH, CA 92660-1719
(213) 924-6442
Mailing address
20051 SW BIRCH ST, NEWPORT BEACH, CA 92660-1719
(213) 924-6442
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
R1461400322
CA
Other
Enumeration date
03/21/2022
Last updated
03/21/2022
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