Individual
FATEMEH ABDOLLAHI MOFAKHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
757 WESTWOOD PLZ, LOS ANGELES, CA 90095-0006
(310) 301-6800
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
(310) 301-8771
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
35.130208
OH
2085R0202X
Diagnostic Radiology Physician
Primary
A162178
CA
Other
Enumeration date
08/31/2011
Last updated
11/10/2022
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