Individual
DR. ANDREW S IRANIHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.,F.A.C.S
Contact information
Practice address
496 OLD NEWPORT BLVD, SUITE 2, NEWPORT BEACH, CA 92663-4264
(949) 646-8444
(949) 646-8388
Mailing address
496 OLD NEWPORT BLVD, SUITE 2, NEWPORT BEACH, CA 92663-4264
(949) 646-8444
(949) 646-8388
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A55391
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A55391
STATE MEDICAL LICENSE
CA
Enumeration date
08/10/2005
Last updated
10/04/2012
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