| Mozhgan Ashtari Md Pc | |
|
23141 Moulton Pkwy Ste 202 Laguna Hills CA 92653-1241 | |
| (949) 305-2711 | |
| (949) 502-8887 |
| Full Name | Mozhgan Ashtari Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 23141 Moulton Pkwy Ste 202, Laguna Hills, California |
| Authorized Official Name and Position | Mozhgan Ashtari (CEO/ MD) |
| Authorized Official Contact | 5512065779 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mozhgan Ashtari Md Pc 23141 Moulton Pkwy Ste 202 Laguna Hills CA 92653-1241 Ph: (949) 305-2711 | Mozhgan Ashtari Md Pc 23141 Moulton Pkwy Ste 202 Laguna Hills CA 92653-1241 Ph: (949) 305-2711 |
| NPI Number | 1962815779 |
|---|---|
| Provider Enumeration Date | 06/09/2014 |
| Last Update Date | 05/29/2015 |
| Medicare PECOS PAC ID | 0840505855 |
|---|---|
| Medicare Enrollment ID | O20150820010442 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962815779 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | A111582 (California) | Primary |
| Provider Name | Mozhgan Ashtari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558691451 PECOS PAC ID: 8224152764 Enrollment ID: I20100903000906 |
| Provider Name | Mahtab Naji |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558949693 PECOS PAC ID: 5395195812 Enrollment ID: I20231226001466 |
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