| David Mohamadi M.D. | |
|
14624 Sherman Way Ste 406 Van Nuys CA 91405-2288 | |
| (818) 988-5999 | |
| (818) 988-5005 |
| Full Name | David Mohamadi M.D. |
|---|---|
| Speciality | Internal Medicine - Geriatric Medicine |
| Location | 14624 Sherman Way Ste 406, Van Nuys, California |
| Authorized Official Name and Position | David Mohamadi (OWNER) |
| Authorized Official Contact | 8189885999 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| David Mohamadi M.D. 14624 Sherman Way Ste 406 Van Nuys CA 91405-2288 Ph: (818) 988-5999 | David Mohamadi M.D. 14624 Sherman Way Ste 406 Van Nuys CA 91405-2288 Ph: (818) 988-5999 |
| NPI Number | 1700145596 |
|---|---|
| Provider Enumeration Date | 05/14/2012 |
| Last Update Date | 05/14/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700145596 | NPI | - | NPPES |
| 00A547750 | Medicaid | CA | |
| A54775 | Other | MEDICARE ID-TYPE UNSPECIFIED |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | A054775 (California) | Primary |
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