Organization
MOTAMEDI & MODARRESI A PROFESSIONAL CORPORATION
Active
Other names
Farhad Motamedi
Organization subpart
No
Provider details
NPI number
Authorized official
FARHAD MOTAMEDI MD (PRESIDENT)
(310) 575-9995
Entity
Organization
Contact information
Practice address
11600 WILSHIRE BLVD, SUITE 508, LOS ANGELES, CA 90025-5781
(316) 575-9995
(310) 575-6665
Mailing address
PO BOX 3519, SANTA MONICA, CA 90408-3519
(310) 575-9995
(310) 575-6665
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
A39018
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A390181
—
CA
Enumeration date
10/12/2006
Last updated
04/10/2012
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