Doctor Name: | DR. SIROOS IGHANI |
NPI Number: | 1154544104 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | C 50747 |
Business Practice Address: | 28502 Murrelet Dr Laguna Niguel, CA - 926771372 |
Business Phone Number: | 9496431811 |
Business Fax Number: | |
Mailing Address: | 28502 Murrelet Dr, LAGUNA NIGUEL |
State: | CA |
Postal Code: | 926771372 |
Phone Number: | 9496431811 |
Fax Number: | |
NPI Enumeration Date: | 04/10/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2300X |
License Number: | C 50747 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |