| Mariam Moghadam, M.d., Inc. | |
|
81 Highland Springs Ave. Suite #306 Beaumont CA 92223-3170 | |
| (951) 769-2222 | |
| (951) 769-2204 |
| Full Name | Mariam Moghadam, M.d., Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 81 Highland Springs Ave., Beaumont, California |
| Authorized Official Name and Position | Mariam Susan Moghadam (PRESIDENT) |
| Authorized Official Contact | 9517692222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mariam Moghadam, M.d., Inc. P.o. Box 8307 Redlands CA 92375-1507 Ph: (951) 769-2222 | Mariam Moghadam, M.d., Inc. 81 Highland Springs Ave. Suite #306 Beaumont CA 92223-3170 Ph: (951) 769-2222 |
| NPI Number | 1518229806 |
|---|---|
| Provider Enumeration Date | 06/12/2012 |
| Last Update Date | 03/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518229806 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A86456 (California) | Primary |
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