Organization
DR ALI MOHEBBI OD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALI A MOHEBBI OD (PRESIDENT/OWNER)
(714) 557-7800
Entity
Organization
Contact information
Practice address
3333 BRISTOL ST, COSTA MESA, CA 92626-1873
(714) 557-7800
(714) 557-8006
Mailing address
PO BOX 3326, MISSION VIEJO, CA 92690-1326
(714) 557-7800
(714) 557-8006
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
11257T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD0112570
—
CA
Enumeration date
10/28/2010
Last updated
11/15/2010
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