Organization
M4LLC
Active
Organization
M4LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOSTAFA S RAHIMI MD (PARTNER)
(760) 686-3121
Entity
Organization
Contact information
Practice address
209 N PACIFIC AVE, SAN PEDRO, CA 90731-2015
(310) 833-2121
(310) 833-0404
Mailing address
209 N PACIFIC AVE, SAN PEDRO, CA 90731-2015
(310) 833-2121
(310) 833-0404
Taxonomy
Speciality
Code
Description
License number
State
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
A89780
CA
261QH0100X
Health Service Clinic/Center
Primary
A89780
CA
Other
Enumeration date
03/01/2017
Last updated
03/01/2017
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