Provider Demographics
NPI:1376583120
Name:ALINAGHIAN, MOHSEN S (OPTOMETRIST)
Entity Type:Individual
Prefix:DR
First Name:MOHSEN
Middle Name:S
Last Name:ALINAGHIAN
Suffix:
Gender:M
Credentials:OPTOMETRIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:62 CORPORATE PARK
Mailing Address - Street 2:STE 115
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92606-3122
Mailing Address - Country:US
Mailing Address - Phone:949-250-4028
Mailing Address - Fax:949-250-4790
Practice Address - Street 1:62 CORPORATE PARK
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92606-3131
Practice Address - Country:US
Practice Address - Phone:949-250-4028
Practice Address - Fax:949-250-4790
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-08
Last Update Date:2021-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA5633-T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist