MEDICARE: KIAN MASOUMI RDHAP INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171100000X	Acupuncturist

General Provider Information

NPI Number	:	1316639917
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KIAN MASOUMI RDHAP INC

Provider Business Mailing Address
First Line	:	28002 MILT CIR
Second Line	:
City	:	LAGUNA NIGUEL
State	:	CA
Zip	:	92677-3779
Country	:	US
Telephone Number	:	949-350-5426
Fax Number	:

Provider Business Practice Location Address
First Line	:	31654 RANCHO VIEJO RD STE E
Second Line	:
City	:	SAN JUAN CAPISTRANO
State	:	CA
Zip	:	92675-6720
Country	:	US
Telephone Number	:	949-350-5426
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MRS. KIAN MASOUMI
Credential	:	DOCTORATE
Telephone Number	:	949-350-5426

Provider Enumeration Date	:	05/23/2023
Last Update Date	:	05/23/2023

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Directions to “KIAN MASOUMI RDHAP INC ” Practice Location

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