Individual
DR. ALI REZA MOATTARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1441 AVOCADO AVE, SUITE 807, NEWPORT BEACH, CA 92660-7721
(949) 706-7706
Mailing address
1441 AVOCADO AVE, SUITE 807, NEWPORT BEACH, CA 92660-7721
(949) 706-7706
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
35051579
OH
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
A46696
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0713008
—
OH
Enumeration date
05/24/2006
Last updated
11/26/2008
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