Organization
TARANEH MOSTAGHASI, MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TARANEH MOSTAGHASI MD (PRESIDENT)
(925) 849-6633
Entity
Organization
Contact information
Practice address
3108 WILLOW PASS RD, CONCORD, CA 94519-2325
(925) 849-6633
(925) 849-6635
Mailing address
3108 WILLOW PASS RD, CONCORD, CA 94519-2325
(925) 849-6633
(925) 849-6635
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
A105503
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A105503
STATE LICENCE
CA
Enumeration date
08/09/2010
Last updated
08/09/2010
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