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1770664377 NPI number — HORYEH SHAHLA DARRODI O.M.D.

NPI Number: 1770664377
Health Care Provider/Practitioner: HORYEH SHAHLA DARRODI O.M.D.

Information about “1770664377” NPI (HORYEH SHAHLA DARRODI O.M.D.) exists in 1770664377 in HTML format HTML  |  1770664377 in plain Text format TXT  |  1770664377 in PDF (Portable Document Format) PDF  |  1770664377 in an XML format XML  formats.

NPI Number : 1770664377 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1770664377",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "DARRODI",
    "FirstName": "HORYEH",
    "MiddleName": "SHAHLA",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "O.M.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "SHAHBAZI",
    "OtherFirstName": "HORYEH",
    "OtherMiddleName": "DARRODI",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "23412 MOULTON PKWY",
    "SecondLineMailingAddress": "SUITE 120",
    "MailingAddressCityName": "LAGUNA HILLS",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "92653-1732",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "949-829-6927",
    "MailingAddressFaxNumber": "949-829-0221",
    "FirstLinePracticeLocationAddress": "144 E YALE LOOP",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "IRVINE",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "92604-3708",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "949-378-0348",
    "PracticeLocationAddressFaxNumber": "949-829-0221",
    "EnumerationDate": "10/18/2006",
    "LastUpdateDate": "07/08/2007",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "171100000X",
        "TaxonomyName": "Acupuncturist",
        "LicenseNumber": "7708",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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