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NPI Code Detail

MEDICARE: NAZANIN ALAGHEMAND

MEDICARE: NAZANIN ALAGHEMAND
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
1363A00000XPhysician Assistant65821CA

General Provider Information

NPI Number : 1639784796
Entity Type Code : Individual
Provider Name (Legal Business Name) : NAZANIN ALAGHEMAND
Provider Business Mailing Address
First Line : 5351 ALGARROBO
Second Line :
City : LAGUNA WOODS
State : CA
Zip : 92637-2566
Country : US
Telephone Number : 818-241-6780
Fax Number :
Provider Business Practice Location Address
First Line : 2650 S BRISTOL ST STE 101
Second Line :
City : SANTA ANA
State : CA
Zip : 92704-5751
Country : US
Telephone Number : 714-754-1444
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/14/2020
Last Update Date : 05/14/2026

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Directions to “ NAZANIN ALAGHEMAND ” Practice Location

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