Organization
MOBIN GHAVAMI MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOBIN GHAVAMI MD (MD OWNER)
(209) 333-2500
Entity
Organization
Contact information
Practice address
900 S FAIRMONT AVE STE A, LODI, CA 95240-5143
(209) 333-2500
Mailing address
PO BOX 331, WOODBRIDGE, CA 95258-0331
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
—
261QE0002X
Emergency Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A54317
CA LICENSE
CA
Enumeration date
07/14/2021
Last updated
07/14/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us