Individual
DR. MAHMOOD TALEBI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
23166 LOS ALISOS BLVD, SUITE 112B, MISSION VIEJO, CA 92691-2835
(949) 707-1181
(949) 707-1192
Mailing address
23166 LOS ALISOS BLVD, SUITE 112B, MISSION VIEJO, CA 92691-2835
(949) 707-1181
(949) 707-1192
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
A052012
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A520121
—
CA
05
—
00A521020
—
CA
Enumeration date
11/16/2006
Last updated
07/09/2007
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