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Organization
MAZDA MOTALLEBI MD INC
Active
Organization
MAZDA MOTALLEBI MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAZDA MOTALLEBI MD (OWNER)
(310) 913-1169
Entity
Organization
Contact information
Practice address
3737 MARTIN LUTHER KING JR BLVD STE 401, LYNWOOD, CA 90262-3534
(310) 604-0443
Mailing address
PO BOX 66657, SEATTLE, WA 98166-0657
Taxonomy
Speciality
Code
Description
License number
State
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
—
NULL
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
—
—
Other
Enumeration date
05/18/2026
Last updated
05/18/2026
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