Individual
MOSTAFA TABASSOMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
23838 VALENCIA BLVD STE 304, VALENCIA, CA 91355-5319
(661) 430-9030
(661) 430-9020
Mailing address
25716 HOLLY OAK CT, VALENCIA, CA 91381-0739
(310) 463-0987
(661) 430-9020
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A106160
CA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
A106160
CA
207RP1001X
Pulmonary Disease Physician
Primary
A106160
CA
Other
Enumeration date
06/01/2009
Last updated
02/06/2023
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