Individual
OKTAY MUSTAFAYEV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
4445 MAGNOLIA AVE, RIVERSIDE, CA 92501-4135
(951) 788-3000
Mailing address
13231 82ND ST, OZONE PARK, NY 11417-1203
(347) 231-5749
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95304321
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
95001912
CA
Other
Enumeration date
11/11/2022
Last updated
11/23/2022
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