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Sheena Ansarinia, OD

Optometrist in Costa Mesa, CA. Individual provider (NPI-1).

NPI number1639726680
StatusActive
Last updated in NPPESOct 6, 2020

Details

NPI
1639726680
Entity type
Individual (NPI-1)
Name
Sheena Ansarinia
Credential
OD
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 23, 2019
Certification date
Oct 6, 2020
Last updated
Oct 6, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X Optometrist34460CAYes
152W00000X OptometristOPT-002381AZ

Practice location

1545 Adams Ave Ste 100
Costa Mesa, CA 92626-3875

Phone 714-545-9162

Mailing address

1545 Adams Ave Ste 100
Costa Mesa, CA 92626-3875

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