Azita Ghaderifard FNP

NPI 1467753129 - Nurse Practitioner - 363LA2200X

NPI Details
NPI 1467753129
Gender Female
Enumeration Date 11/11/2010
Last Updated 11/04/2013
Entity Type Individual
Active Over 6 years ago
Practice Location
23101 LAKE CENTER DR
130
LAKE FOREST CA, 92630-2801, US
Phone (949) 716-9021
Fax (949) 861-6810
Business Location
23101 LAKE CENTER DR
130
LAKE FOREST CA, 92630-2801, US
Phone (949) 716-9021
Fax (949) 861-6810
Toxanomy
Taxonomy Code 363LA2200X
License State Texas
License Number 577516
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According to our database, Ms. Azita Ghaderifard FNP NPI is 1467753129, taxonomy code is 363LA2200X and license number is 577516, license state is located at Texas. Azita Ghaderifard FNP physically located at 23101 Lake Center Dr, Lake Forest CA, 92630-2801. NPI Number Azita Ghaderifard FNP has the Individual type.

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1467753129 NPI number is provided on an as is basis without warranty of any kind. 1467753129 is maintained by the National Plan & Provider Enumeration System. The contents of Azita Ghaderifard FNP are for informational purposes only.