Individual
MOHAMMAD PAKRAVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11370 ANDERSON ST # 1800, LOMA LINDA, CA 92354-3450
(909) 558-2154
(909) 558-2180
Mailing address
11370 ANDERSON ST # 1800, LOMA LINDA, CA 92354-3450
(909) 558-2154
(909) 558-2180
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
V5114
TX
207WX0009X
Glaucoma Specialist (Ophthalmology) Physician
Primary
V5114
TX
Other
Enumeration date
05/02/2021
Last updated
08/05/2026
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