Individual
MR. MAZYAR MOTAHEDEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
8631 W. 3RD STREET. STE. #715E, CEDAR SINAI MEDICAL TOWERS, LOS ANGELES, CA 90048
(310) 278-8330
(310) 275-7595
Mailing address
8556 GREGORY WAY APT 3, LOS ANGELES, CA 90035-1725
(310) 351-3826
(310) 855-9429
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
09/21/2011
Last updated
05/15/2012
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