Individual
MITRA M FATOURECHI-ALSHARIF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
275 VICTORIA ST STE 2F, COSTA MESA, CA 92627-1906
(949) 650-0630
(949) 650-3754
Mailing address
PO BOX 2879, MISSION VIEJO, CA 92690-0879
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
A108327
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
332437200
—
MN
Enumeration date
05/10/2007
Last updated
04/11/2025
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