Organization
MOUTAZ ALMAWALDI MD PC
Active
Other names
MOUTAZ ALMAWALDI,M.D. A PROFESSIONAL CORPORATION
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOHAMAD MOUTAZ ALMAWALDI M.D. (CEO/OWNER)
(707) 263-4766
Entity
Organization
Contact information
Practice address
5120 HILL RD E, LAKEPORT, CA 95453-6300
(707) 263-4766
(707) 263-4771
Mailing address
5120 HILL RD E, PO BOX 1917, LAKEPORT, CA 95453-6300
(707) 263-4766
(707) 263-4771
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
A49796
CA
Other
Enumeration date
02/05/2008
Last updated
07/21/2022
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