| 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 |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 12/22/2016 |
| Last Update Date | 02/06/2023 |
| Certification Date | 02/06/2023 |
| Medicare PECOS PAC ID | 7416231147 |
|---|---|
| Medicare Enrollment ID | O20170224001550 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568907863 | NPI | - | NPPES |
| Provider Name | Mostafa Tabassomi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1003042342 PECOS PAC ID: 2365582913 Enrollment ID: I20091214000067 |
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