Fardad Adltabatabaie
Durable Medical Equipment & Medical Supplies in Irvine, CA. Individual provider (NPI-1).
NPI number1316459050
StatusActive
Last updated in NPPESNov 3, 2017
Details
- NPI
- 1316459050
- Entity type
- Individual (NPI-1)
- Name
- Fardad Adltabatabaie
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 3, 2017
- Last updated
- Nov 3, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | Yes |
Practice location
15 Acacia Tree LnIrvine, CA 92612-2201
Phone 650-746-4445
Mailing address
15 Acacia Tree LnIrvine, CA 92612-2201
Phone 650-746-4445
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