Individual
ALIREZA TAFAZZOLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
27700 MEDICAL CENTER RD, MISSION VIEJO, CA 92691-6426
(949) 364-1400
Mailing address
27700 MEDICAL CENTER RD, MISSION VIEJO, CA 92691-6426
(949) 364-1400
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
A77595
CA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
A77595
CA
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
A77595
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A775950
—
CA
05
—
00A775950F39
—
CA
Enumeration date
08/20/2006
Last updated
03/31/2009
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