Individual
DR. ESSAM A MOSTAFA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11100 WARNER AVE STE 158, FOUNTAIN VALLEY, CA 92708-7510
(714) 486-2586
(714) 432-8885
Mailing address
11100 WARNER AVE STE 158, FOUNTAIN VALLEY, CA 92708-7510
(714) 486-2586
(714) 432-8885
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
C55143
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
C55143
—
CA
Enumeration date
09/16/2005
Last updated
09/16/2019
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