MANDANA MIRSHAHZADEH


Address: 26926 Cherry Hills Blvd Ste B, Menifee, CA 92586
Phone: 9512162200

MANDANA MIRSHAHZADEH (NPI# 1932256849) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1932256849
Entity Type Individual
Full Name MANDANA MIRSHAHZADEH
Credential CRNP
Practice Address 26926 Cherry Hills Blvd Ste B
Menifee
CA 92586
Mailing Address 425 N Date St
Escondido
CA 92025-3413
Practice Telephone 9512162200
Mailing Telephone 7607376960
Enumeration Date 2007-01-04
Last Update Date 2018-07-13
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LW0102X Nurse Practitioner
Specialization: Women's Health
NP95004348 CA Physician Assistants & Advanced Practice Nursing Providers
N 363LW0102X Nurse Practitioner
Specialization: Women's Health
SP009248 PA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 26926 CHERRY HILLS BLVD STE B
City MENIFEE
State CA
Zip Code 92586

Providers in the same location

NPI Name Taxonomy Address Enumeration
1487036380 George Young IIi Social Worker 26926 Cherry Hills Blvd Ste B, Menifee, CA 92586-2500 2015-06-26
1841617958 Neighborhood Healthcare Clinic/Center 26926 Cherry Hills Blvd Ste B, Menifee, CA 92586-2500 2014-03-26

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1053586800 Binoy Govindbhai Patel Physical Therapist 29798 Haun Rd Ste 201, Menifee, CA 92586 2008-04-23
1164552667 Diana Suzanne Koenen Marriage & Family Therapist Sun Plaza Business Center, 27851 Bradley Rd, Suite 103, Menifee, CA 92586 2007-03-06
1972654804 Mike Johnson Specialist 26916 Cherry Hills Boulevard, Sun City, CA 92586 2007-01-16
1184709248 Technomed Homecare Inc Durable Medical Equipment & Medical Supplies 27188 Sun City Blvd, Sun City, CA 92586 2006-10-26
1922193754 Minh Pham Dentist 29950 Haun Rd, Ste 302, Sun City, CA 92586 2006-10-04
1598739203 Kevin Khuong Nguyen Family Medicine 29798 Haun Road, Suite 203, Menifee, CA 92586 2006-02-17
1831199728 Duane Ray Darnell Internal Medicine 27994 Bradley Rd, Ste F, Sun City, CA 92586 2005-07-21
1417445040 Blair N Kluth Behavioral Analyst 27070 Sun City Blvd, Menifee, CA 92586 2018-04-30
1043723869 New Hope Rx Pharmacy, Inc Pharmacy 29798 Haun Rd Ste 100, Menifee, CA 92586 2017-11-15
1245690759 R. O. Gonzalez Dds, Inc A Professional Corporation Dentist 29798 Haun Rd, Suite 101, Menifee, CA 92586 2016-02-25
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Taxonomy Information

Taxonomy Code 363LW0102X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Women's Health

Taxonomy Definition

Definition to come...

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Competitor

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City MENIFEE
Zip Code 92586

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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