Individual
MOHAMMAD REZA KAZEMAINI MOFRAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
43112 15TH ST W, LANCASTER, CA 93534-6219
(661) 951-2826
Mailing address
43112 15TH ST W, LANCASTER, CA 93534-6219
(661) 951-2826
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A92090
CA
2085R0202X
Diagnostic Radiology Physician
M9398
TX
2471C3402X
Radiography Radiologic Technologist
A92090
CA
Other
Enumeration date
12/22/2005
Last updated
11/02/2021
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