# MAZDA MOTALLEBI MD INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598694184
- **Authorized official:** MAZDA MOTALLEBI MD (OWNER)
- **Authorized official phone:** (310) 913-1169

## Contact information

- **Practice address:** 3737 MARTIN LUTHER KING JR BLVD STE 401, LYNWOOD, CA 90262-3534
- **Practice address phone:** (310) 604-0443
- **Mailing address:** PO BOX 66657, SEATTLE, WA 98166-0657

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RC0001X | Clinical Cardiac Electrophysiology Physician | — | NULL | Yes |
| 207RC0001X | Clinical Cardiac Electrophysiology Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/18/2026
- **Last updated:** 05/18/2026