Individual
ALI MOAYED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
16400 LARK AVE, STE 300, LOS GATOS, CA 95032
(408) 356-1199
(408) 356-5344
Mailing address
16400 LARK AVE, STE 300, LOS GATOS, CA 95032
(408) 356-1199
(408) 356-5344
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
G84380
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G843800
—
CA
Enumeration date
09/20/2006
Last updated
07/08/2007
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