CALIFORNIA FUNCTIONAL INTERNAL MEDICINE CLINIC LLC
NPI 1609633049
Internal Medicine in Lake Forest, CA

Q: What is California Functional Internal Medicine Clinic LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since March 04, 2024

22972 EL TORO RD, LAKE FOREST, CA 92630(816) 585-4373 Get Directions Write a Review

NPPES record last updated: March 4, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About California Functional Internal Medicine Clinic Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CALIFORNIA FUNCTIONAL INTERNAL MEDICINE CLINIC LLC (NPI 1609633049) is a healthcare organization registered as an internal medicine in Lake Forest, California and active in the NPI registry since March 2024. The organization lists Mohammed W Ansari, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1609633049

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameCALIFORNIA FUNCTIONAL INTERNAL MEDICINE CLINIC LLC

Location Address22972 EL TORO RDLake Forest, CA 92630-4961

Mailing Address22972 El Toro RdLake Forest, CA 92630-4961

Phone(816) 585-4373

Organization SubpartNo

Authorized OfficialMohammed W AnsariManaging Member · (816) 585-4373

Enumeration DateMarch 4, 2024

NPPES CertifiedMarch 2, 2024

✔ NPI 1609633049 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

22972 EL TORO RD, Lake Forest, CA 92630

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

REZA DEHDARI MD INC

Radiology (Diagnostic Radiology)