Individual
MR. REY MOOSAVI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1333 E MAIN ST, EL CAJON, CA 92021-6540
(619) 447-6001
(619) 447-6096
Mailing address
1333 E MAIN ST, EL CAJON, CA 92021-6540
(619) 447-6001
(619) 447-6096
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A35706
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A357060
—
CA
Enumeration date
10/31/2006
Last updated
04/28/2015
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