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General NPI Number Information
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NPI Number | 1831085166
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Entity Type | Organization
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Legal Business Name | ORANGE HEALTH MD, PC
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Dates
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Enumeration Date | 06/13/2025
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Last Update Date | 06/13/2025
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Provider Practice Location Address
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Address Line | 2865 E COAST HWY UNIT 120
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City | CORONA DEL MAR
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State | CA
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Zip | 92625-2236
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Country | US
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Telephone | 949-520-6945
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Fax |
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Provider Business Mailing Address
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Address Line | 2865 E COAST HWY UNIT 120
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City | CORONA DEL MAR
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State | CA
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Zip | 92625-2236
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Country | US
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Telephone | 949-520-6945
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SHAHRZAD MOKHTARE
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Credential | MC
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Telephone | 949-735-1632
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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