Mostafa, Essam A

Mostafa, Essam A is an individual health care provider with primary practice located at 11100 Warner Ave Ste 158 , Fountain Valley CA 92708-7510. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Mostafa, Essam A can be contacted via phone (714) 486-2586.

Contact Information

Primary practice address
11100 Warner Ave Ste 158 Fountain Valley CA 92708-7510
Phone: (714) 486-2586
Fax: (714) 432-8885
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X C55143 California

Profile Details

NPI number 1316932270
LBN Legal business name Mostafa, Essam A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2005
Last updated Sep 16th, 2019 - about 6 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 1316932270 NPPES
California MEDICAID C55143

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