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Mahsa Bazooband

NPI 1598674673 · on the registry since 2026 · sole proprietor

Practice

Address
27773 Hidden Trail Rd
Laguna Hills, CA 92653
Phone
(949) 940-6562

Registry record

Primary taxonomy
122300000X
122300000X
Also registered as
122300000X
Licence states on file
CA, FL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-10-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California