Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

California Functional Internal Medicine Inc

Organization Internal Medicine Physician · NPI 1356101067

California Functional Internal Medicine Inc is an Internal Medicine Physician in Lake Forest, California. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

22972 El Toro Rd
Lake Forest, CA 92630-4961
Phone: (949) 339-5272
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1356101067
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mohammed Ansari — Owner · (816) 585-4373
NPI enumeratedMarch 20, 2024
Last updated in NPPESMarch 20, 2024
Certification dateMarch 20, 2024
Mailing address40 Winterhaven, Irvine, CA 92614-7914

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