Adel Mostafavi Md, Inc. | |
13701 Riverside Dr Ste 606 Sherman Oaks CA 91423-2430 | |
(310) 871-0670 | |
(310) 469-7845 |
Full Name | Adel Mostafavi Md, Inc. |
---|---|
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 13701 Riverside Dr, Sherman Oaks, California |
Authorized Official Name and Position | Adel Mostafavi (PROVIDER/CEO) |
Authorized Official Contact | 3103710670 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Adel Mostafavi Md, Inc. 2042 Linda Flora Dr Los Angeles CA 90077-1407 Ph: (310) 871-0670 | Adel Mostafavi Md, Inc. 13701 Riverside Dr Ste 606 Sherman Oaks CA 91423-2430 Ph: (310) 871-0670 |
NPI Number | 1134412240 |
---|---|
Provider Enumeration Date | 05/23/2011 |
Last Update Date | 02/27/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1134412240 | NPI | - | NPPES |
000 | Other | CA | N/A |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | A92472 (California) | Primary |
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