Individual
ALAN ALI MOAZZAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 W ARBOR DR, SAN DIEGO, CA 92103-9000
(619) 471-9186
Mailing address
PO BOX 232410, SAN DIEGO, CA 92193-2410
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A121629
CA
208M00000X
Hospitalist Physician
Primary
A121629
CA
Other
Enumeration date
06/18/2010
Last updated
10/03/2017
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