Organization
GERIATRIC PROFESSIONAL SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MUSTAFA FIROZ MD (PHYSICIAN/OWNER)
(951) 479-1980
Entity
Organization
Contact information
Practice address
555 S 7TH AVE, BARSTOW, CA 92311-3043
(760) 256-1761
Mailing address
6484 BRANCH CT, CORONA, CA 92880-0801
(951) 479-1980
(951) 284-6281
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
C51487
CA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
C51487
CA
Other
Enumeration date
08/04/2006
Last updated
09/11/2025
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