Individual
MR. MOHAMMAD FARDGHASSEMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
230 E 17TH ST, SUITE 170, COSTA MESA, CA 92627-3824
(949) 650-5990
(949) 423-0300
Mailing address
230 E 17TH ST, SUITE 170, COSTA MESA, CA 92627-3824
(949) 650-5990
(949) 423-0300
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
HA 7409
CA
Other
Enumeration date
07/16/2014
Last updated
07/16/2014
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