| A Reza Moattari Md Inc. | |
|
1441 Avocado Ave Ste 807 Newport Beach CA 92660-7721 | |
| (949) 713-3998 | |
| Not Available |
| Full Name | A Reza Moattari Md Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 1441 Avocado Ave, Newport Beach, California |
| Authorized Official Name and Position | Ali Reza Moattari (OWNER) |
| Authorized Official Contact | 9497133998 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| A Reza Moattari Md Inc. 1441 Avocado Ave Ste 807 Newport Beach CA 92660-7721 Ph: () - | A Reza Moattari Md Inc. 1441 Avocado Ave Ste 807 Newport Beach CA 92660-7721 Ph: (949) 713-3998 |
| NPI Number | 1457501371 |
|---|---|
| Provider Enumeration Date | 09/28/2008 |
| Last Update Date | 09/28/2008 |
| Medicare PECOS PAC ID | 1153483839 |
|---|---|
| Medicare Enrollment ID | O20081215000762 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457501371 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
| Provider Name | Ali R Moattari |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1265487581 PECOS PAC ID: 5991886889 Enrollment ID: I20080116000826 |
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