Healthcare Provider Details

I. General information

NPI: 1720029135
Provider Name (Legal Business Name): MEHRNAZ HOJJATI M. D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/08/2006
Last Update Date: 11/28/2023
Certification Date: 11/28/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2501 E CHAPMAN AVE STE 301
ORANGE CA
92869-3204
US

IV. Provider business mailing address

2501 E CHAPMAN AVE STE 301
ORANGE CA
92869-3204
US

V. Phone/Fax

Practice location:
  • Phone: 714-628-3230
  • Fax:
Mailing address:
  • Phone: 714-628-3230
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number35096327
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License NumberC131825
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: