Individual
FARIBORZ MORTAZAVI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1700 N ROSE AVE SUITE 320, OXNARD, CA 93030-7648
(805) 485-8709
(805) 485-5521
Mailing address
1700 N ROSE AVE, SUITE 320, OXNARD, CA 93030-7648
(805) 485-8709
(805) 485-5521
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
036-107982
IL
207RH0003X
Hematology & Oncology Physician
Primary
A96026
CA
Other
Enumeration date
08/28/2006
Last updated
09/08/2016
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