Sina Mofidi, | |
21890 W Colorado Ave, San Joaquin, CA 93660-9773 | |
(601) 405-7041 | |
Not Available |
Full Name | Sina Mofidi |
---|---|
Gender | Male |
Speciality | Dentist |
Location | 21890 W Colorado Ave, San Joaquin, California |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528780970 | NPI | - | NPPES |
108039 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 108039 (California) | Primary |
Mailing Address | Practice Location Address |
---|---|
Sina Mofidi, 28541 Shrike Dr, Laguna Niguel, CA 92677-1347 Ph: (601) 405-7041 | Sina Mofidi, 21890 W Colorado Ave, San Joaquin, CA 93660-9773 Ph: (601) 405-7041 |
Mrs. Loan Hong Le, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 21890 Colorado Ave., San Joaquin, CA 93660 Phone: 559-693-2467 Fax: 559-693-2398 | |
Mr. Amos Benjamin Acevedo, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 21890 Colorado Ave., San Joaquin, CA 93660 Phone: 559-693-2467 Fax: 559-693-2398 |