Individual
JAMAL DAWAN MUSTAFA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
323 S HELIOTROPE AVE, MONROVIA, CA 91016
(626) 408-9800
Mailing address
14120 ALONDRA BLVD, SUITE C, SANTA FE SPRINGS, CA 90670-5820
(562) 407-2080
(562) 407-2082
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
MD20030707
NM
207P00000X
Emergency Medicine Physician
Primary
C52342
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
27400018
—
NM
05
—
771635
—
AZ
Enumeration date
06/15/2006
Last updated
08/06/2018
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