Organization
ADEL MOSTAFAVI MD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ADEL MOSTAFAVI MD (PROVIDER/CEO)
(310) 371-0670
Entity
Organization
Contact information
Practice address
13701 RIVERSIDE DR, STE 606, SHERMAN OAKS, CA 91423-2430
(310) 871-0670
(310) 469-7845
Mailing address
2042 LINDA FLORA DR, LOS ANGELES, CA 90077-1407
(310) 871-0670
(310) 469-7845
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A92472
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000
N/A
CA
Enumeration date
05/23/2011
Last updated
02/27/2012
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