Individual
MOHAMMAD JAMSHIDI-NEZHAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO F.A.C.S.
Contact information
Practice address
3998 VISTA WAY, SUITE 200, OCEANSIDE, CA 92056-4500
(760) 724-5352
(760) 724-5447
Mailing address
3998 VISTA WAY, SUITE 200, OCEANSIDE, CA 92056-4500
(760) 724-5352
(760) 724-5447
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
20A 10547
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
188617802
—
TX
01
—
8AE230
BLUE CROSS BLUE SHIELD
TX
01
—
8F6090
MEDICARE PTAN
TX
Enumeration date
06/01/2005
Last updated
11/12/2013
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