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:
Health care specialties
| Specialty | Code | License # | 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 2 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 | 1225244155 | NPPES |
| California | MEDICAID | 00A834320 |
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