Individual
DANIEL S MOGHADAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
508 E HICKORY AVE, LOMPOC, CA 93436-7318
(805) 737-3333
Mailing address
3916 STATE ST, #300, SANTA BARBARA, CA 93105-5602
(805) 563-3011
(805) 564-5087
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A109217
CA
Other
Enumeration date
09/08/2009
Last updated
12/09/2009
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