Individual
MASOUD AFSHAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
220 N IMPERIAL AVE, IMPERIAL, CA 92251-1265
(442) 283-5049
(760) 283-5089
Mailing address
220 N IMPERIAL AVE, IMPERIAL, CA 92251-1265
(442) 283-5049
(442) 283-5089
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
A105324
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A105324
CA LICENSE
CA
01
—
BE158X
SO CA MEDICARE PTAN
CA
01
—
BE158Y
NO CA MEDICARE PTAN
CA
Enumeration date
09/13/2008
Last updated
10/04/2023
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