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Organization
MANSOOR MOSLEY MD
Active
Organization
MANSOOR MOSLEY MD
Active
Other names
SOUTH BRISTOL MEDICAL GROUP
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MANSOOR MOSLEY MD (DOCTOR)
(714) 754-5400
Entity
Organization
Contact information
Practice address
1220 HEMLOCK WAY STE 104, SANTA ANA, CA 92707-3651
(714) 754-5400
(714) 754-6836
Mailing address
1220 HEMLOCK WAY STE 104, SANTA ANA, CA 92707-3651
(714) 754-5400
(714) 754-6836
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A41405
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A414050 CA
—
CA
Enumeration date
03/06/2007
Last updated
11/20/2012
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