Moattari, Ali Reza

Moattari, Ali Reza is an individual health care provider with primary practice located at 1441 Avocado Ave Suite 807, Newport Beach CA 92660-7721. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism. Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism is his primary health care specialty. Moattari, Ali Reza can be contacted via phone (949) 706-7706.

Contact Information

Primary practice address
1441 Avocado Ave Suite 807 Newport Beach CA 92660-7721
Phone: (949) 706-7706
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 35051579 Ohio
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X A46696 California

Profile Details

NPI number 1265487581
LBN Legal business name Moattari, Ali Reza
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2006
Last updated Nov 26th, 2008 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265487581 NPPES
Ohio MEDICAID 0713008

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