{
"Npi": {
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"ReplacementNPI": null,
"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "MOBISURG, INC.",
"LastName": null,
"FirstName": null,
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"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": "6",
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "23025 MILL CREEK DR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "LAGUNA HILLS",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "92653-1257",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "949-367-0800",
"MailingAddressFaxNumber": "949-313-7858",
"FirstLinePracticeLocationAddress": "23025 MILL CREEK DR",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "LAGUNA HILLS",
"PracticeLocationAddressStateName": "CA",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "949-367-0800",
"PracticeLocationAddressFaxNumber": "949-313-7858",
"EnumerationDate": "08/22/2008",
"LastUpdateDate": "03/24/2023",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "ALIKHANI",
"AuthorizedOfficialFirstName": "SHAHRIAR",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "MEDICAL DIRECTOR",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "MD",
"AuthorizedOfficialTelephoneNumber": "949-367-0800",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QA1903X",
"TaxonomyName": "Ambulatory Surgical Clinic/Center",
"LicenseNumber": "G75045",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}