Organization
MOSTAFA TABASSOMI MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOSTAFA TABASSOMI M.D. (PRESIDENT)
(661) 430-9030
Entity
Organization
Contact information
Practice address
23838 VALENCIA BLVD STE 304, VALENCIA, CA 91355-5319
(661) 430-9030
(661) 430-9030
Mailing address
23838 VALENCIA BLVD STE 304, VALENCIA, CA 91355-5319
(661) 430-9030
(661) 430-9020
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A106160
CA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
A106160
CA
207RP1001X
Pulmonary Disease Physician
Primary
A106160
CA
Other
Enumeration date
12/22/2016
Last updated
02/06/2023
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