Individual
MORTEZA MOOSAVI FARR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
125 N JACKSON AVE, # 101, SAN JOSE, CA 95116-1914
(408) 258-6565
(408) 258-1220
Mailing address
125 N JACKSON AVE, # 101, SAN JOSE, CA 95116-1914
(408) 258-6565
(408) 258-1220
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
020A80782
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00AX80780
—
CA
Enumeration date
05/04/2006
Last updated
04/18/2013
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