Individual
MAHMOOD MAHDAVI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9850 GENESEE AVE, STE 710, LA JOLLA, CA 92037-1224
(858) 458-9955
(858) 452-7848
Mailing address
9850 GENESEE AVE, STE 710, LA JOLLA, CA 92037-1224
(858) 458-9955
(858) 452-7848
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
C39780
CA
Other
Enumeration date
07/06/2006
Last updated
07/08/2007
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