Individual
DR. JESSICA MOFIDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
403 W ADAMS BLVD, LOS ANGELES, CA 90007-2664
(213) 742-1153
Mailing address
4650 W SUNSET BLVD, MAILSTOP #68, LOS ANGELES, CA 90027-6062
(323) 361-2122
(323) 361-7926
Taxonomy
Speciality
Code
Description
License number
State
2080S0010X
Pediatric Sports Medicine Physician
Primary
A153568
CA
Other
Enumeration date
11/28/2016
Last updated
12/06/2021
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