Movafagh, Ali Mohammad

Movafagh, Ali Mohammad is an individual health care provider with primary practice located at 12712 Heacock St Ste 1, Moreno Valley CA 92553. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Movafagh, Ali Mohammad can be contacted via phone (951) 485-0335.

Contact Information

Primary practice address
12712 Heacock St Ste 1 Moreno Valley CA 92553
Phone: (951) 485-0335
Fax: (951) 485-1514
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X C42507 California
Allopathic & Osteopathic Physicians / Pediatrics 208000000X C42507 California

Profile Details

NPI number 1164587713
LBN Legal business name Movafagh, Ali Mohammad
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 26th, 2006
Last updated Jul 8th, 2007 - about 18 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 1164587713 NPPES
California MEDICAID 00C425070

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