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Individual

FARAMARZ MOTTALEI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1000 TRANCAS STREET, NAPA, CA 94558
(707) 257-4014
Mailing address
PO BOX 11359, WESTMINSTER, CA 92685-1359
(800) 665-5712

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A53091
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A530910
CA
Enumeration date
07/12/2006
Last updated
06/04/2008
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