| Rokhsareh Tajrishi Inc. | |
|
3334 E Coast Hwy Suite 570 Corona Del Mar CA 92625-2328 | |
| (714) 903-7767 | |
| (714) 903-7801 |
| Full Name | Rokhsareh Tajrishi Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 3334 E Coast Hwy, Corona Del Mar, California |
| Authorized Official Name and Position | Rokhsareh Roxanne Tajrishi (OWNER) |
| Authorized Official Contact | 9494782088 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rokhsareh Tajrishi Inc. 3334 E Coast Hwy Suite 570 Corona Del Mar CA 92625-2328 Ph: (714) 903-7767 | Rokhsareh Tajrishi Inc. 3334 E Coast Hwy Suite 570 Corona Del Mar CA 92625-2328 Ph: (714) 903-7767 |
| NPI Number | 1477945228 |
|---|---|
| Provider Enumeration Date | 03/02/2015 |
| Last Update Date | 08/24/2016 |
| Medicare PECOS PAC ID | 4587982723 |
|---|---|
| Medicare Enrollment ID | O20150420000004 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477945228 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | A133047 (California) | Primary |
| Provider Name | Rokhsareh Tajrishi |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1164701819 PECOS PAC ID: 5496073637 Enrollment ID: I20150420000007 |
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