Individual
OMID MOSHTAGHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5565 GROSSMONT CENTER DR BLDG. 3, SUITES 101 & 154, LA MESA, CA 91942
(619) 464-3353
Mailing address
5565 GROSSMONT CENTER DR 101 & 154, LA MESA, CA 91942
(619) 464-3353
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
A163768
CA
Other
Enumeration date
07/10/2018
Last updated
07/13/2023
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