Provider Demographics
NPI:1790982510
Name:MOHSEN S. ALINAGHIAN OD INC
Entity Type:Organization
Organization Name:MOHSEN S. ALINAGHIAN OD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MOHSEN
Authorized Official - Middle Name:SEYED
Authorized Official - Last Name:ALINAGHIAN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:949-250-4028
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:949-250-4028
Practice Address - Street 1:62 CORPORATE PARK
Practice Address - Street 2:STE 115
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92606-3122
Practice Address - Country:US
Practice Address - Phone:949-250-4028
Practice Address - Fax:949-250-4028
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA5633-T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAW17331Medicare ID - Type Unspecified
CAU54438Medicare UPIN