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NPI Code Detail

MEDICARE: MISS IRINA HOGHOUGHI LAW FNP

MEDICARE: MISS IRINA HOGHOUGHI LAW FNP
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
1363LF0000XFamily Nurse Practitioner6700CA
2363LF0000XFamily Nurse PractitionerRN388522CA

General Provider Information

NPI Number : 1558493536
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS IRINA HOGHOUGHI LAW FNP
Provider Business Mailing Address
First Line : 6956 QUIET COVE DR
Second Line :
City : CARLSBAD
State : CA
Zip : 92011-3729
Country : US
Telephone Number : 562-639-9348
Fax Number :
Provider Business Practice Location Address
First Line : 1751 E GARRY AVE
Second Line :
City : SANTA ANA
State : CA
Zip : 92705-5814
Country : US
Telephone Number : 877-896-7350
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/12/2007
Last Update Date : 06/30/2019

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