Organization
SEYED H. SHAHROKNI, MD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SEYED H SHAHROKNI M.D. (OWNER)
(949) 859-0400
Entity
Organization
Contact information
Practice address
27725 SANTA MARGARITA PKWY, SUITE 101, MISSION VIEJO, CA 92691-6704
(949) 462-3999
(949) 462-3777
Mailing address
27758 SANTA MARGARITA PKWY, #409, MISSION VIEJO, CA 92691-6709
(949) 364-5716
(949) 364-5777
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
—
—
261QR0206X
Mammography Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A67310
STATE LICENSE
CA
Enumeration date
01/04/2006
Last updated
02/05/2009
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