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Individual

MR. DARYA AMIRSHAHROKHI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CPO

Contact information

Practice address
23672 BIRTCHER DR UNIT A, LAKE FOREST, CA 92630-1711
(949) 945-9606
Mailing address
PO BOX 546, LAKE FOREST, CA 92609-0546
(949) 945-9606

Taxonomy

Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
224P00000X
Prosthetist

Other

Enumeration date
01/26/2017
Last updated
06/05/2025
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