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MAHDIEH FALLAHTAFTI D.O. INC NPI 1013194091


NPI Information

NPI: 1013194091
Provider Name: MAHDIEH FALLAHTAFTI, D.O., INC
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
4708 BARRANCA PKWY
IRVINE, CA
ZIP 92604
Phone: (949) 654-0010
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MAHDIEH FALLAHTAFTI, D.O., INC is a specialist in Irvine, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. MAHDIEH FALLAHTAFTI, D.O., INC NPI is 1013194091. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4708 BARRANCA PKWY
IRVINE, CA
ZIP 92604-730
Phone: (949) 654-0010

The provider's authorized official is Mahdieh Fallahtafti .
The authorized official title is Physician/owner and has the following contact phone number (949) 654-0010.

The enumeration date for this NPI number is 1/22/2008 and was last updated on 1/22/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialist20A6766CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1W19013MEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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