Mostofi, Tara
Mostofi, Tara is an sole proprietor health care provider with primary practice located at 4327 Golden Center Dr , Placerville CA 95667-6260. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Mostofi, Tara can be contacted via phone (530) 621-7700.Contact Information
Primary practice address
4327 Golden Center Dr
Placerville CA 95667-6260
Phone: (530) 621-7700
Fax: (530) 621-7707
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | PA17957 | California |
Profile Details
| NPI number | 1073728051 |
|---|---|
| LBN Legal business name | Mostofi, Tara |
| Credentials | PAC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 11th, 2007 |
| Last updated | Jul 8th, 2007 - 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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