Organization
MOHAMMAD HAGHDOOST MD MEDICAL CORPORATION
Active
Other names
MOHAMMAD HAGHDOOST MD MEDICAL CORPORATION
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOHAMMAD HAGHDOOST MD (OWNER)
(650) 804-4610
Entity
Organization
Contact information
Practice address
1144 NORMAN DR STE 204, MANTECA, CA 95336-5960
(209) 665-4252
(866) 589-7497
Mailing address
PO BOX 1227, RIPON, CA 95366-1227
(650) 804-4610
(866) 589-7497
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A111081
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1427539287
—
CA
01
—
A111081
SURGERY
CA
Enumeration date
08/28/2018
Last updated
04/14/2025
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