Individual
KIA GHIASSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
24422 AVENIDA DE LA CARLOTA STE 275, LAGUNA HILLS, CA 92653-3669
(949) 354-3672
Mailing address
24422 AVENIDA DE LA CARLOTA STE 275, LAGUNA HILLS, CA 92653-3669
(949) 354-3672
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
20A15558
CA
Other
Enumeration date
04/03/2015
Last updated
06/06/2023
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