Individual
MOSTAFA DAFTARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 VALE TERRACE, VISTA, CA 92084-5218
(760) 631-5000
(760) 414-3710
Mailing address
1000 VALE TERRACE, VISTA, CA 92084-5218
(760) 631-5000
(760) 414-3710
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
C50665
CA
Other
Enumeration date
07/28/2006
Last updated
07/29/2010
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