Individual
DR. ALI MOSTAJELEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
747 52ND ST, NEUROLOGY DEPARTMENT, OAKLAND, CA 94609-1809
(510) 428-3590
Mailing address
747 52ND ST, NEUROLOGY DEPARTMENT, OAKLAND, CA 94609-1809
(510) 428-3590
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
A90764
CA
2084N0600X
Clinical Neurophysiology Physician
A90764
CA
Other
Enumeration date
04/01/2010
Last updated
04/04/2012
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