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Organization
MANSOUR MOFIDI, DO, INC
Active
Organization
MANSOUR MOFIDI, DO, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANSOUR MOFIDI D.O. (OWNER)
(619) 248-6451
Entity
Organization
Contact information
Practice address
5555 GROSSMONT CENTER DR, LA MESA, CA 91942-3019
(619) 740-6000
Mailing address
PO BOX 2303, LA MESA, CA 91943-2303
(619) 248-6451
(619) 303-9380
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
20A7485
CA
Other
Enumeration date
05/02/2016
Last updated
12/19/2023
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