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1821535949
DARYA AMIRSHAHROKHI
LAKE FOREST, CA
NPI
1821535949
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
222Z00000X Orthotist
Additional Taxonomies
224P00000X Prosthetist
Enumeration Date
2017-01-26
Last Update Date
2018-01-24
Business Address
MR. DARYA AMIRSHAHROKHI CPO
23672 BIRTCHER DR UNIT A
LAKE FOREST, CA 92630-1711
Phone number: 949-945-9606
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Mailing Address
MR. DARYA AMIRSHAHROKHI CPO
23672 BIRTCHER DR. UNIT A
LAKE FOREST, CA 92630
Phone number: 949-945-9606
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