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Organization
JAFAR MOTTAGHIAN MONAZZAM
Active
Organization
JAFAR MOTTAGHIAN MONAZZAM
Active
Other names
South Gate Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAFAR MOTTAGHIAN MONAZZAM PT (OWNER DIRECTOR)
(323) 563-1160
Entity
Organization
Contact information
Practice address
4067 TWEEDY BL, SOUTH GATE, CA 90280-6146
(323) 563-1160
(323) 563-1169
Mailing address
4067 TWEEDY BL, SOUTH GATE, CA 90280-6146
(323) 563-1160
(323) 563-1169
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT18908
CA
Other
Enumeration date
12/13/2006
Last updated
04/18/2013
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