Individual
MR. ALI MOHAMMAD MOVAFAGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12712 HEACOCK ST, STE 1, MORENO VALLEY, CA 92553
(951) 485-0335
(951) 485-1514
Mailing address
12712 HEACOCK ST, STE 1, MORENO VALLEY, CA 92553
(951) 485-0335
(951) 485-1514
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C42507
CA
208000000X
Pediatrics Physician
C42507
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C425070
—
CA
Enumeration date
12/26/2006
Last updated
09/11/2025
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