Healthcare Provider Details

I. General information

NPI: 1811932940
Provider Name (Legal Business Name): TOURAN M ZADEH MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/20/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

211 SOUTH MAIN STREET STE E
ORANGE CA
92868
US

IV. Provider business mailing address

211 SOUTH MAIN STREET STE E
ORANGE CA
92868
US

V. Phone/Fax

Practice location:
  • Phone: 714-288-3500
  • Fax: 714-288-3510
Mailing address:
  • Phone: 714-288-3500
  • Fax: 714-288-3510

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207SG0201X
TaxonomyClinical Genetics (M.D.) Physician
License NumberA32610
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: