Mofid, Mehrdad Mark

Mofid, Mehrdad Mark is an individual health care provider with primary practice located at 4150 Regents Park Row Suite 300, La Jolla CA 92037-9124. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Mofid, Mehrdad Mark can be contacted via phone (858) 909-9000.

Contact Information

Primary practice address
4150 Regents Park Row Suite 300 La Jolla CA 92037-9124
Phone: (858) 909-9000
Fax: (858) 909-9009
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X A83432 California

Profile Details

NPI number 1225244155
LBN Legal business name Mofid, Mehrdad Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2007
Last updated Jan 4th, 2022 - about 3 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1225244155 NPPES
California MEDICAID 00A834320

Popular Providers