Individual
DR. ALI MAHTABIFARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 THE CITY DR S BLDG 29, ORANGE, CA 92868-3201
(714) 880-7812
Mailing address
200 S MANCHESTER AVE STE 300, ORANGE, CA 92868-3219
(714) 456-2986
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
A86440
CA
Other
Enumeration date
12/15/2005
Last updated
03/14/2023
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