Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223S0112X | Oral and Maxillofacial Surgeon | S2200 | CA |
NPI | 1093961575 |
---|---|
Provider Name | Mohammad Hossein Mohammadi-Araghi |
First Address | Mission Viejo, CA 92691 |
Second Address | Mission Viejo, CA 92691 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/08/2008 |
Last Update Date | 15/08/2008 |