Individual
DR. ANOUSHEH MORTAZAVI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
2300 HILLTOP MALL RD, RICHMOND, CA 94806-1926
(510) 222-3809
(413) 581-7905
Mailing address
2300 HILLTOP MALL RD, RICHMOND, CA 94806-1926
(510) 222-3809
(413) 581-7905
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT9564
CA
Other
Enumeration date
12/06/2006
Last updated
11/04/2008
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