Individual
MEHRDAD MARK MOFID
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4150 REGENTS PARK ROW, SUITE 300, LA JOLLA, CA 92037-9124
(858) 909-9000
(858) 909-9009
Mailing address
4150 REGENTS PARK ROW, SUITE 300, LA JOLLA, CA 92037-9124
(858) 909-9000
(858) 909-9009
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
A83432
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A834320
—
CA
Enumeration date
05/15/2007
Last updated
01/04/2022
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