Provider Demographics
NPI:1124249255
Name:MOHAMMADI, FARSHAD (DC)
Entity type:Individual
Prefix:DR
First Name:FARSHAD
Middle Name:
Last Name:MOHAMMADI
Suffix:
Gender:
Credentials:DC
Other - Prefix:
Other - First Name:NA
Other - Middle Name:
Other - Last Name:NA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:27725 SANTA MARGARITA PKWY STE. 120
Mailing Address - Street 2:
Mailing Address - City:MISSION VIEJO
Mailing Address - State:CA
Mailing Address - Zip Code:92691
Mailing Address - Country:US
Mailing Address - Phone:949-855-1887
Mailing Address - Fax:949-855-3213
Practice Address - Street 1:27725 SANTA MARGARITA PKWY STE. 120
Practice Address - Street 2:
Practice Address - City:MISSION VIEJO
Practice Address - State:CA
Practice Address - Zip Code:92691
Practice Address - Country:US
Practice Address - Phone:949-855-1887
Practice Address - Fax:949-855-3213
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-02
Last Update Date:2025-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC25905111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor