Individual
DR. FARID BRAD MOZAFFARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4520 EXECUTIVE DR, STE 105, SAN DIEGO, CA 92121
(858) 456-8484
(858) 453-3284
Mailing address
7770 REGENTS RD 113, #400, SAN DIEGO, CA 92122
(858) 453-8484
(858) 453-3284
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
164717
FL
208200000X
Plastic Surgery Physician
Primary
C156516
CA
208600000X
Surgery Physician
57899
GA
2086S0122X
Plastic and Reconstructive Surgery Physician
22324
WV
Other
Enumeration date
04/03/2007
Last updated
09/15/2023
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