| Fm Medical Professional Corporation | |
|
1400 Quail St Suite 150 Newport Beach CA 92660-2730 | |
| (949) 306-1663 | |
| Not Available |
| Full Name | Fm Medical Professional Corporation |
|---|---|
| Speciality | Family Medicine |
| Location | 1400 Quail St, Newport Beach, California |
| Authorized Official Name and Position | Farzin Mohtadi (PRESIDENT) |
| Authorized Official Contact | 9493061663 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fm Medical Professional Corporation 25108 Marguerite Pkwy Suite A203 Mission Viejo CA 92692-2400 Ph: () - | Fm Medical Professional Corporation 1400 Quail St Suite 150 Newport Beach CA 92660-2730 Ph: (949) 306-1663 |
| NPI Number | 1841696283 |
|---|---|
| Provider Enumeration Date | 11/12/2014 |
| Last Update Date | 11/14/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841696283 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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