Mahsa Ostovarinia, | |
1137 Walpert St Apt 89, Hayward, CA 94541-6726 | |
(703) 628-4281 | |
Not Available |
Full Name | Mahsa Ostovarinia |
---|---|
Gender | Female |
Speciality | Chiropractor |
Location | 1137 Walpert St Apt 89, Hayward, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1669885026 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 32872 (California) | Primary |
Provider Name | Privia Medical Group Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1013042480 PECOS PAC ID: 4385682061 Enrollment ID: O20050422000298 |
Mailing Address | Practice Location Address |
---|---|
Mahsa Ostovarinia, 1137 Walpert St Apt 89, Hayward, CA 94541-6726 Ph: (703) 628-4281 | Mahsa Ostovarinia, 1137 Walpert St Apt 89, Hayward, CA 94541-6726 Ph: (703) 628-4281 |
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