Individual
MOHAMMAD ALI AKBARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
24853 ALESSANDRO BLVD, MORENO VALLEY, CA 92553-6102
(951) 571-8518
(562) 485-7748
Mailing address
200 OCEANGATE, SUITE 100, LONG BEACH, CA 90802-4302
(562) 499-6191
(562) 499-6171
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA17622
CA
363AS0400X
Surgical Physician Assistant
PA17622
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
EFFECTIVE: 12/7/2011
—
CA
Enumeration date
09/25/2006
Last updated
04/19/2013
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