Mostafa Tabassomi Md Inc | |
23838 Valencia Blvd Ste 304 Valencia CA 91355-5319 | |
(661) 430-9030 | |
(661) 430-9030 |
Full Name | Mostafa Tabassomi Md Inc |
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Speciality | Internal Medicine |
Location | 23838 Valencia Blvd Ste 304, Valencia, California |
Authorized Official Name and Position | Mostafa Tabassomi (PRESIDENT) |
Authorized Official Contact | 6614309030 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Mostafa Tabassomi Md Inc 23838 Valencia Blvd Ste 304 Valencia CA 91355-5319 Ph: (661) 430-9030 | Mostafa Tabassomi Md Inc 23838 Valencia Blvd Ste 304 Valencia CA 91355-5319 Ph: (661) 430-9030 |
NPI Number | 1568907863 |
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Provider Enumeration Date | 12/22/2016 |
Last Update Date | 02/06/2023 |
Medicare PECOS PAC ID | 7416231147 |
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Medicare Enrollment ID | O20170224001550 |
Identifier | Type | State | Issuer |
---|---|---|---|
1568907863 | NPI | - | NPPES |
Provider Name | Mostafa Tabassomi |
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Provider Type | Practitioner - Pulmonary Disease |
Provider Identifiers | NPI Number: 1003042342 PECOS PAC ID: 2365582913 Enrollment ID: I20091214000067 |
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