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NPI Code Detail

MEDICARE: MR. MOHAMMAD FARHAD MOHEBBI CHIROPRACTIC

MEDICARE:  MR. MOHAMMAD FARHAD MOHEBBI  CHIROPRACTIC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor20876CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1DC0208760OTHERCADC

General Provider Information

NPI Number : 1376576389
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. MOHAMMAD FARHAD MOHEBBI CHIROPRACTIC
Provider Business Mailing Address
First Line : 23412 MOULTON PKWY
Second Line : SUITE 120
City : LAGUNA HILLS
State : CA
Zip : 92653-1732
Country : US
Telephone Number : 949-829-6927
Fax Number : 949-829-0221
Provider Business Practice Location Address
First Line : 23412 MOULTON PKWY
Second Line : SUITE 120
City : LAGUNA HILLS
State : CA
Zip : 92653-1732
Country : US
Telephone Number : 949-829-6927
Fax Number : 949-829-0221
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/10/2006
Last Update Date : 07/08/2007

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Directions to “ MR. MOHAMMAD FARHAD MOHEBBI CHIROPRACTIC” Practice Location

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