Individual
MS. PEGAH MARYAM MASHAYEKHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
12395 EL CAMINO REAL STE 209, SAN DIEGO, CA 92130-3084
(858) 224-1866
(858) 207-5042
Mailing address
12395 EL CAMINO REAL SUITE 209, SAN DIEGO, CA 92130
(858) 224-1866
(858) 207-5042
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
20A12987
CA
207RB0002X
Obesity Medicine (Internal Medicine) Physician
20A12987
CA
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
20A12987
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20A12987
MEDICAL LICENSE
CA
01
—
Q9433
TEXAS MEDICAL BOARD
TX
Enumeration date
05/15/2012
Last updated
03/03/2025
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