Moghadam, Mojtaba

Moghadam, Mojtaba is an sole proprietor health care provider with primary practice located at 1335 W Cypress Ave Suite # 205, San Dimas CA 91773-3537. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Moghadam, Mojtaba can be contacted via phone (909) 542-2770.

Contact Information

Primary practice address
1335 W Cypress Ave Suite # 205 San Dimas CA 91773-3537
Phone: (909) 542-2770
Fax: (909) 394-1800
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X G45294 California
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X G45294 California

Profile Details

NPI number 1932114733
LBN Legal business name Moghadam, Mojtaba
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 30th, 2006
Last updated Mar 16th, 2012 - about 12 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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