Ashtari, Mozhgan
Ashtari, Mozhgan is an individual health care provider with primary practice located at 23141 Moulton Pkwy 202 , Laguna Hills CA 92653-1241. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Ashtari, Mozhgan can be contacted via phone (949) 600-6334.Contact Information
Primary practice address
23141 Moulton Pkwy 202
Laguna Hills CA 92653-1241
Phone: (949) 600-6334
Fax: (949) 600-6454
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | A111582 | California |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | A111582 | California |
Profile Details
| NPI number | 1558691451 |
|---|---|
| LBN Legal business name | Ashtari, Mozhgan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 28th, 2009 |
| Last updated | Mar 25th, 2020 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558691451 | NPPES |
| California | Other | 6140717019 | CIGNA |
| California | Other | 0149051291 | CIGNA |
| California | Other | 162668 | CIGNA |
| California | Other | 538598 | CIGNA |
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