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General NPI Number Information
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NPI Number | 1346977501
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Entity Type | Organization
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Legal Business Name | BOZORGNIA MD MEDICAL SERVICES
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Dates
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Enumeration Date | 08/06/2022
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Last Update Date | 11/02/2025
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Provider Practice Location Address
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Address Line | 14150 CULVER DR STE 105
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City | IRVINE
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State | CA
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Zip | 92604-0322
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Country | US
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Telephone | 949-400-0010
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Fax |
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Provider Business Mailing Address
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Address Line | 30511 AVENIDA DE LAS FLORES # 1075
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City | RANCHO SANTA MARGARITA
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State | CA
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Zip | 92688-3941
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Country | US
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Telephone | 949-400-0010
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | FARSHID BOZORGNIA
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Credential |
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Telephone | 734-272-9062
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number |
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License Number State |
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