Individual
BOBECK S MODJTAHEDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1011 BALDWIN PARK BLVD, BALDWIN PARK, CA 91706-5806
(626) 851-6106
Mailing address
1011 BALDWIN PARK BLVD, BALDWIN PARK, CA 91706-5806
(626) 851-6106
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
A114567
CA
Other
Enumeration date
06/16/2009
Last updated
12/02/2021
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