Individual
DR. MOSTAFA S. ILBEIGI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
18400 US HIGHWAY 18 STE A, APPLE VALLEY, CA 92307-2306
(760) 242-3232
(760) 242-3939
Mailing address
18400 US HIGHWAY 18 STE A, APPLE VALLEY, CA 92307-2306
(760) 242-3232
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
A64208
CA
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
A64208
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A642080
—
CA
Enumeration date
08/18/2006
Last updated
04/08/2014
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